• C Berkenbaum, L Balu, F Sauvat, A Montbrun, and L Harper.
• Department of Pediatrics, Centre Hospitalier Universitaire de La Réunion, Site Felix Guyon, Reunion Island, France.
• J Pediatr Adolesc Gynecol. 2013 Dec 1;26(6):e131-2.

BackgroundSevere vaginal trauma in young girls is uncommon. We describe a 5-year-old girl who presented a vaginal laceration following sudden hydro-distention.CaseA 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 ConclusionThis 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.Copyright © 2013 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

14 keywords...

hide…