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Case Series
Severe bleeding from misdiagnosed urethral prolapse in two young girls
1 MD, Head of the Department of Gynecology and Obstetrics, Faculty of Medicine and Pharmaceutical Science, University of Dschang, Cameroon
2 MD, Kekem District Hospital, West Region, Cameroon
3 MD, Head of Department of Biological Science, Faculty of Medicine and Pharmaceutical Science, University of Dschang, Cameroon
4 MD, St Vincent de Paul Catholic Hospital, Dschang, Cameroon
5 Associate Professor of Gynecology and Obstetrics, Faculty of Medicine and Biomedical Science, University of Yaoundé 1, Cameroon
Address correspondence to:
Kenfack Bruno
Faculty of Medicine and Pharmaceutical Science, University of Dschang, PO Box 43, Dschang,
Cameroon
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Article ID: 100007Z19KB2020
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Bruno K, Ajong AB, Michel N, Donald MH, Julius DS. Severe bleeding from misdiagnosed urethral prolapse in two young girls. J Case Rep Images Pediatr 2020;2:100007Z19KB2020.ABSTRACT
Introduction: Urethral prolapse (UP) is a rare and misleading pathology that occurs most commonly in young black females. It is the protrusion of the distal urethra through the external meatus with bleeding as the main symptom, followed by voiding disturbances.
Case Series: The two cases presented here were referred to us with diagnosis of vulvar tumor and sexual abuse. The clinical diagnosis of strangulated UP with anemia from chronic hemorrhage was made for the first case and the diagnosis of UP with acute uncontrollable bleeding for the second. Surgical management with excision of the protruded urethra was successful and the postoperative follow-up was uneventful. The pathology report confirmed the diagnosis and no recurrence was noticed within a year.
Conclusion: Urethral prolapse is often misdiagnosed in our environment. Severe cases need immediate surgical treatment that can be performed successfully with no risk of recurrence.
Keywords: Urethral prolapse, Misdiagnosis, Treatment, Resource-limited setting
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Acknowledgments
The authors thank the surgical team of Dschang District Hospital and the parents of the patients for their consent and participation.
Author ContributionsKenfack Bruno - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Atem Bethel Ajong - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Noubom Michel - Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Mutarambirwa Henri Donald - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Dohbit Sama Julius - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Kenfack Bruno et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
