一个患有硬化症的青少年女孩的非产妇性 Vulvar/Paravaginal 血瘤:亲密伴侣暴力干预的机会
Amanda Burnham1, Jo Cooke-Barber2, Stephen Thacker1
1Department of Pediatrics, Children's Hospital of Savannah, Memorial Health University Medical Center, Savannah, GA.
HCA healthcare journal of medicine
|July 10, 2023
概括
一名患有硬质皮质症的儿科患者在性交后出现了严重的部血瘤. 这一案例突出了区分结合组织疾病与生殖器创伤中的性虐待的挑战.
科学领域:
- 儿科医学 儿科医学
- 皮肤病学 皮肤病学
- 法医医学 法医医学
背景情况:
- 在儿科患者中, Vulvar 血瘤是罕见的.
- 硬化皮质是一种连接组织疾病,可以影响皮肤弹性和愈合.
- 从临床上讲,区分创伤与结合组织疾病以及生殖器损伤中的滥用是具有挑战性的.
研究的目的:
- 报告在患有硬化皮质症的儿科患者中出现的第一个阴道血液瘤病例.
- 讨论在区分与结缔组织疾病相关的损伤和性虐待之间的诊断挑战.
- 强调考虑性暴力在患有阴道血液瘤的儿科患者中的重要性.
主要方法:
- 一个15岁的女性的病例报告显示,性交后的部胀,疼痛和尿液保留.
- 盆腔CT扫描,以评估血液瘤的程度.
- 临床评估和患者病史的审查,包括所谓的创伤和医疗状况.
主要成果:
- 确定了一个大型的阴道/外部血瘤 (6 × 10 × 7厘米),延伸到阴道.
- 这位患者有史以来的硬化皮质,一种连接组织疾病.
- 伤害机制涉及涉嫌故意对唇部施加力,引发了对性虐待的担忧.
结论:
- 这一病例代表了在患有硬化皮质症的儿科患者中首次报告的阴道血液瘤病例.
- 伤害的严重程度和患者的病史需要对性虐待进行彻底调查.
- 性暴力应该是患有部或阴道外血瘤的儿科患者的首要考虑因素,特别是那些患有潜在连接组织疾病的儿科患者.
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