• Pediatr. Surg. Int. · Jun 2008

    Case Reports

    Uro-genital bleeding in pre-menarcheal girls: dilemmas of child abuse.

    • S Agarwal, A Lall, A Bianchi, and A Dickson.
    • Department of Obstetrics and Gynaecology, Royal Bolton Hospital, Bolton, BL4 0JR, UK.
    • Pediatr. Surg. Int. 2008 Jun 1; 24 (6): 745-6.

    AbstractUro-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.

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