The presence of a foreign body in the vagina of a child, aged 4 years, with a practically imperforate hymen, is in itself a rare occurrence, and the resulting massive hemorrhage creates additional interest.
A search of indexed literature, terminating with the third quarter of the Quarterly Cumulative Index Medicus for 1932, revealed that only a few cases, occurring from infancy to the age of 11 years, have been reported in this and foreign countries. Seven of these were cited by Offergold in his report in 1930. Of the twenty-two reports published, only eight cases occurred in children of 5 years or younger, and in one case the age was not mentioned.
R. R., a girl, aged 4 years and 9 months, was referred for surgical attention, July 8, 1932, because of a recent massive vaginal hemorrhage, preceded by vaginal discharge and slight hemorrhages; nervousness, manifested by irritability and restlessness,
Nixon S. A FOREIGN BODY IN THE VAGINA OF A FOUR YEAR OLD CHILD, WITH RESULTANT MASSIVE HEMORRHAGE. JAMA. 1933;100(15):1169–1170. doi:10.1001/jama.1933.27420150003009a
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