Citation

Berkenbaum C, Balu L, Sauvat F, Montbrun A, Harper L. J. Pediatr. Adolesc. Gynecol. 2013; 26(6): e131-2.

Affiliation

Department of Pediatrics, Centre Hospitalier Universitaire de La Réunion, Site Felix Guyon, Reunion Island, France.

Copyright

(Copyright © 2013, North American Society for Pediatric and Adolescent Gynecology, Publisher Elsevier Publishing)

DOI

10.1016/j.jpag.2013.05.002

PMID

24001435

Abstract

BACKGROUND: Severe vaginal trauma in young girls is uncommon. We describe a 5-year-old girl who presented a vaginal laceration following sudden hydro-distention. CASE: A 5-year-old girl was transferred to our institution for vaginal trauma with severe bleeding. Her brother had directed the nozzle of a functioning garden hose against her vulva. She presented pain and persistent vaginal bleeding without external genital lesions. Surgical exploration revealed a laceration of the right vaginal wall. The vagina was sutured and the bleeding stopped. SUMMARY AND CONCLUSION: This case illustrates a rare mechanism of severe vaginal laceration, in a young girl, by hydro-distention. Though there are often no external lesions the internal lesions can be severe causing significant bleeding. Certainly in these cases aggressive diagnostic evaluation is necessary.

Language: en