Unusual Cause of Pediatric Vaginal Bleeding: Infantile Capillary Hemangioma of the Cervix.
Adrenergic beta-Antagonists
/ therapeutic use
Cervix Uteri
/ pathology
Child
Diagnosis, Differential
Endoscopy
/ methods
Female
Hemangioma, Capillary
/ complications
Humans
Neoplastic Syndromes, Hereditary
/ complications
Propranolol
/ therapeutic use
Uterine Cervical Neoplasms
/ diagnosis
Uterine Hemorrhage
/ diagnosis
Infantile hemangioma
Prepubertal vaginal bleeding
Propranolol
Vaginoscopy
Journal
Journal of pediatric and adolescent gynecology
ISSN: 1873-4332
Titre abrégé: J Pediatr Adolesc Gynecol
Pays: United States
ID NLM: 9610774
Informations de publication
Date de publication:
Feb 2019
Feb 2019
Historique:
received:
26
03
2018
revised:
03
08
2018
accepted:
06
08
2018
pubmed:
15
8
2018
medline:
29
1
2019
entrez:
15
8
2018
Statut:
ppublish
Résumé
The differential diagnosis for pediatric prepubertal vaginal bleeding is wide. Rare etiologies include vascular malformations and tumors, such as infantile hemangiomas (IHs), which validate the usefulness of exam under anesthesia, vaginoscopy, and tissue diagnosis. We report a case of an IH in a 6-year-old girl causing vaginal bleeding requiring transfusion. Vaginoscopy revealed a cervical IH of less than 1 cm. Expectant management and oral propranolol were successful management options. Rare, even small soft tissue tumors such as IH can lead to impressive blood loss via vaginal bleeding. Accurate tissue diagnosis and a multidisciplinary approach are essential to planning safe, effective treatment, and follow-up.
Sections du résumé
BACKGROUND
BACKGROUND
The differential diagnosis for pediatric prepubertal vaginal bleeding is wide. Rare etiologies include vascular malformations and tumors, such as infantile hemangiomas (IHs), which validate the usefulness of exam under anesthesia, vaginoscopy, and tissue diagnosis.
CASE
METHODS
We report a case of an IH in a 6-year-old girl causing vaginal bleeding requiring transfusion. Vaginoscopy revealed a cervical IH of less than 1 cm. Expectant management and oral propranolol were successful management options.
SUMMARY AND CONCLUSION
CONCLUSIONS
Rare, even small soft tissue tumors such as IH can lead to impressive blood loss via vaginal bleeding. Accurate tissue diagnosis and a multidisciplinary approach are essential to planning safe, effective treatment, and follow-up.
Identifiants
pubmed: 30107231
pii: S1083-3188(18)30269-9
doi: 10.1016/j.jpag.2018.08.003
pii:
doi:
Substances chimiques
Adrenergic beta-Antagonists
0
Propranolol
9Y8NXQ24VQ
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
80-82Informations de copyright
Copyright © 2018 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.