| CASE REPORT |
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| Year : 2017 | Volume
: 11
| Issue : 2 | Page : 96-98 |
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Urethral prolapse: An important differential diagnosis of bleeding from the vulva in pre-pubertal African girls
Blessing Imuetinyan Abhulimhen-Iyoha, CA Oguejiofor
Department of Child Health, University of Benin Teaching Hospital, Benin City, Edo, Nigeria
Correspondence Address:
Blessing Imuetinyan Abhulimhen-Iyoha
Department of Child Health, University of Benin Teaching Hospital, Benin City, Edo
Nigeria
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/phmj.phmj_3_17
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Urethral prolapse is the abnormal protrusion of the urethral mucosa through the external urethral meatus. It is a rarely diagnosed condition as most cases will be misdiagnosed as sexual abuse. If diagnosed, however, medical treatment with follow-up will usually suffice. If this fails, or in the presence of complications, surgical management may be employed. The most common presenting feature is urogenital bleeding. Genital bleeding in a pre-pubertal child is alarming to parents. Their first impression is that of a sexual abuse resulting in the suspicion of all adult males in the surrounding environment. The condition is worsened by a scenario in which the child is either too little to give an account or where she points accusing fingers to some adults. We report a case of bleeding from the vulva from urethral prolapse masquerading as suspected sexual abuse from an unknown adult. |
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