Infantile hemangiomas may cause vaginal bleeding in prepubescent girls.
A 3-year-old girl was referred for evaluation of painless vaginal bleeding. Her initial evaluation was nondiagnostic. The girl's physical examination was remarkable only for an infantile hemangioma of her right hand. A vaginoscopy was performed and a hemangioma of the anterior vaginal wall was identified. The patient was managed conservatively. Her bleeding has decreased in amount and frequency.
Summary and Conclusion
Infantile hemangiomas are a potential cause of vaginal bleeding in young girls and should be suspected if a child has a hemangioma on another part of their body. Most infantile hemangiomas resolve without therapy.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Journal of Pediatric and Adolescent Gynecology
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- An uncommon cause of vaginal bleeding in a child.Obstet Gynecol. 2007; 110: 416
- Vascular tumors of infancy and childhood: beyond capillary hemangioma.Cardiovasc Path. 2006; 15: 303
- Hemangiomas in children.N Engl J Med. 1999; 341: 173
Antaya RJ: “Infantile Hemangioma”. emedicine from WebMD. Edited by Jean Paul Ortonne. Updated March 29, 2007 Available: http://www.emedicine.com/DERM/topic201.htm. Accessed November 2007
- Capillary hemangioma of the vagina and urethra in a child: response to short-term steroid therapy.Obstet Gynecol. 1989; 73: 883
- Hemangioma of the cervix managed with the Nd:YAG laser.Obstet Gynecol. 1991; 78: 962
Published online: April 09, 2009
© 2009 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.