Published in:
01-06-2008 | Case Report
Uro-genital bleeding in pre-menarcheal girls: dilemmas of child abuse
Published in: Pediatric Surgery International | Issue 6/2008
Login to get accessAbstract
Uro-genital bleeding in pre-menarcheal girls always raises concerns regarding child abuse. There are serious social issues involved; however, before labeling it as sexual abuse, all efforts must be made to rule out an organic pathology. We recently encountered two young girls of Afro-Caribbean origin who presented with vaginal bleeding with concerns from referring physicians about child/sexual abuse. On examination both had a rare condition of urethral prolapse. One of them underwent four-quadrant excision and the other was treated conservatively with urethral catherization.