青春期后女性阴唇毛发绞窄综合征的延迟诊断：病例报告。
Delayed Diagnosis of Labial Hair Thread Tourniquet Syndrome in a Postmenarchal Adolescent: A Case Report.
机构信息
College of Medicine, Medical University of South Carolina, Charleston, South Carolina.
Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, South Carolina.
出版信息
J Emerg Med. 2024 Oct;67(4):e379-e381. doi: 10.1016/j.jemermed.2024.04.015. Epub 2024 Apr 30.
BACKGROUND
Hair thread tourniquet syndrome occurs when tissue is strangulated by a hair thread. It occurs most commonly in the digits of infants and young children, but can also occur in the genitalia.
CASE REPORT
A 13-year-old postmenarchal girl with several days of severe vulvar pain and swelling presented to the emergency department. Diagnosis was unclear and she was referred to pediatric and adolescent gynecology. Pelvic examination under anesthesia revealed a hair thread tourniquet involving the bilateral labia minora. The hair tourniquet and portions of bilateral labia minora were excised. Why Should an Emergency Physician Be Aware of This? Genital hair thread tourniquet syndrome is uncommon but must be considered in patients with severe genital pain and swelling. Prompt diagnosis and treatment are important to prevent tissue necrosis and may be facilitated by means of a pelvic examination with sedation.
背景
头发丝绞勒综合征是指组织被头发丝勒紧而导致的一种病症。这种情况最常发生在婴儿和幼儿的手指上，但也可能发生在生殖器部位。
病例报告
一名 13 岁月经初潮后的女孩因数天严重的外阴疼痛和肿胀而到急诊就诊。最初的诊断并不明确，因此她被转诊至儿科和青少年妇科。在全身麻醉下进行的盆腔检查显示存在双侧小阴唇的发带绞勒。发带和双侧小阴唇的部分组织被切除。
为什么急诊医生应该了解这个问题？生殖器毛发绞勒综合征并不常见，但对于出现严重生殖器疼痛和肿胀的患者，必须考虑到这种情况。及时诊断和治疗非常重要，可预防组织坏死，而在镇静下进行盆腔检查可能有助于诊断和治疗。
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