Tuesday, 14 July 2020

P KZN PV BLEED

A case report and literature review of vaginal bleeding in prepubertal girl

Abstract

Vaginal bleeding in the prepubertal girl is an uncommon condition with complex etiological factors. We report a case of a 6‐year‐old girl brought to hospital when vaginal bleeding was noticed after defecation. Various common causes were excluded by genital and auxiliary examinations. Serial vaginoscopy revealed increasing petechiae within the non‐estrogenized cervix and vaginal wall. The etiology of these petechiae was considered to result from ruptured small blood vessels or submucosal capillaries due to an increase in abdominal pressure.

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