@article{ref1,
title="Severe vaginal laceration in a 5-year-old girl caused by sudden hydro-distention",
journal="Journal of Pediatric and Adolescent Gynecology",
year="2013",
author="Berkenbaum, C. and Balu, L. and Sauvat, F. and Montbrun, A. and Harper, L.",
volume="26",
number="6",
pages="e131-2",
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.<p /> <p>Language: en</p>",
language="en",
issn="1083-3188",
doi="10.1016/j.jpag.2013.05.002",
url="http://dx.doi.org/10.1016/j.jpag.2013.05.002"
}