Zitsman J L, Cirincione E, Margossian H
Department of Surgery, New York Medical College, Valhalla, USA.
Obstet Gynecol. 1997 May;89(5 Pt 2):840-2. doi: 10.1016/s0029-7844(97)00055-0.
Vaginal bleeding in infancy is rare and, to our knowledge, has not been reported in association with an inguinal hernia.
A premature infant with a known reducible inguinal hernia developed vaginal bleeding at 8 months. Work-up revealed no coagulopathy and no endocrine abnormality. Physical examination and ultrasound found no anatomic lesion responsible for her bleeding. At surgery, she was found to have an indirect hernia in which the uterus, fallopian tube, and ovary were sliding components. Her vaginal bleeding ceased after herniorrhaphy.
Vaginal bleeding in a child with an inguinal hernia may occur when the uterus is a sliding component of the hernia.
婴儿期阴道出血较为罕见，据我们所知，尚无与腹股沟疝相关的报道。
一名患有可复性腹股沟疝的早产儿在8个月时出现阴道出血。检查未发现凝血功能障碍和内分泌异常。体格检查和超声检查未发现导致其出血的解剖学病变。手术时发现她患有间接疝，子宫、输卵管和卵巢是滑动成分。疝修补术后她的阴道出血停止。
当子宫是疝的滑动成分时，患有腹股沟疝的儿童可能会出现阴道出血。
