• Anna Aprile, Cristina Ranzato, Melissa Rosa Rizzotto, Alessia Arseni, Liviana Da Dalt, and Paola Facchin.
• Legal Medicine Institute, Environmental & Public Health Department, University of Padua, Via Falloppio 50, 35121 Padua, Italy. anna.aprile@unipd.it
• Forensic Sci. Int. 2011 Jul 15;210(1-3):e16-20.

AbstractThe entities responsible for isolated vaginal bleeding are a broad spectrum of diseases. Vaginal bleeding in a prepubertal child is always treated as an alarming symptom both by parents and professionals. Most often, one of the first hypotheses is that a sexual abuse may be occurred and the clinical work up is oriented to explore it and eventually confirm or substantiante another diagnosis. Among the possible differential diagnosis urethral prolapse has to be considered. We report the case of a 6 years-old Caucasian girl referred to our Service for a mild vaginal bleeding and with the suspicion of sexual abuse, excluded after the confirmation of the presence of urethral prolapse. The clinical picture and workup are described and compared with a review of the international literature on the issue.Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

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