A Rare Cause of Hypovolemic Shock in Prepubertal Girl: Vaginal Leech Infestation
Joint Authors
Harou, Karam
Lahmini, W.
Bourrous, M.
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-06-27
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Vaginal bleeding in girls is an alarming symptom for both parents and pediatricians.
Serious underlying causes should be always evoked.
Case Report.
We describe here a 9-year-old girl who was admitted at our emergency department for vaginal bleeding and severe anemia.
No history of trauma and no evidence of prior abuse were reported by the parents.
Full Blood Count showed profound anemia (hemoglobin at 4 g/dl).
The child was managed as a hypovolemic shock and resuscitated with intravenous fluids and urgent blood transfusion.
Gynecologic examination found a live leech at the vulva and the extraction was facilitated by applying a saline solution.
The child was clinically stable and discharged home the next day with ambulatory treatment.
Conclusion.
This case emphasizes that a through external genital exam with possible exam under anesthesia should be undertaken in all girls with unexplained vaginal bleeding and that in those living in rural areas without potable water, leech infection should be considered.
American Psychological Association (APA)
Lahmini, W.& Bourrous, M.& Harou, Karam. 2019. A Rare Cause of Hypovolemic Shock in Prepubertal Girl: Vaginal Leech Infestation. Case Reports in Obstetrics and Gynecology،Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1141610
Modern Language Association (MLA)
Lahmini, W.…[et al.]. A Rare Cause of Hypovolemic Shock in Prepubertal Girl: Vaginal Leech Infestation. Case Reports in Obstetrics and Gynecology No. 2019 (2019), pp.1-3.
https://search.emarefa.net/detail/BIM-1141610
American Medical Association (AMA)
Lahmini, W.& Bourrous, M.& Harou, Karam. A Rare Cause of Hypovolemic Shock in Prepubertal Girl: Vaginal Leech Infestation. Case Reports in Obstetrics and Gynecology. 2019. Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1141610
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141610