Febbraio 2017 - Volume XXXVI - numero 2
Problemi speciali
Chirurgia Pediatrica, Alta Specializzazione in Ginecologia Pediatrica, IRCCS Ospedale Pediatrico “Bambino Gesù”, Roma
Indirizzo per corrispondenza: mchiara.lucchetti@opbg.net
Key words: Genital bleeding, Vaginal tumors, Child sexual abuse, Female genital trauma, Precocious puberty
Genital bleedings in paediatric age are always a cause of parental distress that also involve the paediatrician who is expected to give a prompt diagnosis that is rarely easy to find. The spectrum of possible differential diagnoses is wide and variable, going from accidental or non-accidental local injuries to infections and up to neoplastic lesions. Anyway, it has to be reminded that a good proportion of these bleedings remains “of unknown origin” even when properly approached and will not find any reasonable causative agent even at the end of the most accurate work-up.
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