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Preschool Girl With Vaginal Bleeding Due to Pinworm Endometritis
Andrea von Höveling1, Lilian Carrasco2, Thomas Weitzel3
1Department of Obstetrics and Gynecology Hospital El Carmen, Department of Obstetrics and Gynecology Clínica Santa María, Finis Terrae University, Santiago, Chile.
Journal of Pediatric and Adolescent Gynecology
|December 24, 2019
Summary
Genital tract bleeding in prepubertal girls is rare but can cause anxiety. Pinworm endometritis is presented as a novel cause of vaginal bleeding in a preschooler.
Area of Science:
- Pediatric Gynecology
- Infectious Diseases
Background:
- Genital tract bleeding in prepubertal girls is uncommon and can cause significant family and healthcare provider anxiety.
- Diagnosis often relies on thorough history and physical examination, but further gynecological evaluation may be needed.
- Considering less common etiologies is crucial for accurate diagnosis and management.
Observation:
- A case report of a preschool-aged girl presenting with vaginal bleeding is detailed.
- The bleeding was attributed to pinworm (Enterobius vermicularis) infestation affecting the endometrium, a previously unreported cause.
- This highlights the importance of considering parasitic infections in the differential diagnosis.
Findings:
- Pinworm infestation can lead to endometritis, manifesting as vaginal bleeding in prepubertal girls.
- This represents a novel etiology for genital bleeding in this age group.
- Diagnostic evaluation included standard gynecological assessment and identification of pinworms.
Implications:
- The findings expand the differential diagnosis for genital tract bleeding in prepubertal children.
- Healthcare providers should consider pinworm infestation when evaluating young girls with vaginal bleeding.
- This case underscores the need for a comprehensive diagnostic approach, including consideration of unusual causes.