Skip to main content Accessibility help
×
Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-24T17:39:29.306Z Has data issue: false hasContentIssue false

Case 9 - A 10-Year-Old Girl with a Vulvar Hematoma after Playground Injury

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
Get access

Summary

A 10-year-old female is brought to the emergency room by her grandparents after sustaining an unwitnessed fall while on the playground. The patient reports having been swinging on the monkey bars, slipping on the edge of the landing, and ultimately straddling the handrail of the landing. She had immediate onset of pain and was able to walk to her grandmother and describe her fall. They went to the bathroom to assess her injury and noted blood in her undergarments, prompting them to come immediately to the emergency room. She remains in pain currently. She and her grandmother report heavy bleeding from the injury. Prior to this event the child was in her usual health. She has not yet had menarche, though they have noted some breast development. She has not had prior genital trauma or vaginal bleeding. She has been in her grandparents’ custody for the last six months.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 24 - 25
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Casey, JT, Bjurlin, MA, Cheng, EY. Pediatric genital injury: an analysis of the National Electronic Injury Surveillance System. Urology 2013; 82: 1125– 30.CrossRefGoogle ScholarPubMed
Lopez, HN, Focseneanu, MA, Merritt, DF. Genital injuries acute evaluation and management. Best Pract Res Clin Obstet Gynaecol 2018; 48: 2839.CrossRefGoogle ScholarPubMed
Dowlut-McElroy, T, Higgins, J, Williams, KB, Strickland, JL. Patterns of treatment of accidental genital trauma in girls. J Pediatr Adolesc Gynecol 2018; 31: 1922.CrossRefGoogle ScholarPubMed
Iqbal, CW, Jrebi, NY, Zielinski, MD, et al. Patterns of accidental genital trauma in young girls and indications for operative management. J Pediatr Surg 2010; 45: 930–3.CrossRefGoogle ScholarPubMed
Spitzer, RF, Kives, S, Caccia, N, et al. Retrospective review of unintentional female genital trauma at a pediatric referral center. Pediatr Emerg Care 2008; 24: 831–5.CrossRefGoogle Scholar
Dowd, MD, Fitzmaurice, L, Knapp, JF, Mooney, D. The interpretation of urogenital findings in children with straddle injuries. J Pediatr Surg 1994; 29: 710.CrossRefGoogle ScholarPubMed
Reeves, JA, Dowlut-McElroy, T, Mou, SM, et al. Factor VII deficiency diagnosed after minor genital trauma. Haemophilia 2017; 23: e133–5.CrossRefGoogle ScholarPubMed
Jones, JG, Worthington, T. Genital and anal injuries requiring surgical repair in females less than 21 years of age. J Pediatr Adolesc Gynecol 2008; 21: 207–11.CrossRefGoogle Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×