[Urogenital bleeding revealing urethral prolapse in a prepubertal girl]
Q Ballouhey1, O Abbo, S Sanson
1Service de chirurgie pédiatrique, hôpital des Enfants, 330 avenue de Grande-Bretagne, Toulouse cedex 9, France. q.ballouhey@gmail.com
Abstract:
Urethral prolapse is a complete eversion of the distal urethral mucosa through the external meatus. It occurs primarily in prepubertal, primarly Black girls. Its pathophysiology has not been clearly identified. We report a case of a 5-year-old girl who came to the Emergency Department with a 1-day history of genital pain and "vaginal bleeding". Early recognition makes differential diagnosis with sexual abuse and staging allows prompt management under general anesthesic like prolapse reduction or surgical excision.
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