Prepubertal vaginal bleeding caused by a vaginal foreign body: Diagnostic challenges and forensic implications.
Ioannis Ketsekioulafis, Athina Tousia, Konstantinos Katsos et al.
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Case in brief
A 7-year-old girl presented with prolonged vaginal bleeding, prompting a thorough clinical and forensic investigation. A foreign body, identified as a single hair with blood-positive material, was discovered in the vagina. No signs of injury were noted, and the hymen remained intact. Genetic analysis of the hair did not provide a conclusive DNA profile, leaving the etiology of the bleeding uncertain.
Diagnostic / clinical pearl
In cases of prepubertal vaginal bleeding, clinicians should consider foreign bodies, including uncommon items like hair, in their differential diagnosis.
Why it matters
This case underscores the importance of a multidisciplinary approach in evaluating prepubertal vaginal bleeding to ensure comprehensive assessment and management.