Urethral Caruncle Presented as Premature Menarche in a 4-Year-Old Girl

Urethral caruncle (UC) is a benign fleshy outgrowth at the urethral meatus. It was first described by Samuel Sharp in 1750 and occurs mainly at the posterior lip of the urethra, and the exact aetiology is still uncertain. More often it was seen in the postmenopausal women, and only few cases are rep...

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Main Authors: Manori Gamage, D. Beneragama
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2018/3486032
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author Manori Gamage
D. Beneragama
author_facet Manori Gamage
D. Beneragama
author_sort Manori Gamage
collection DOAJ
description Urethral caruncle (UC) is a benign fleshy outgrowth at the urethral meatus. It was first described by Samuel Sharp in 1750 and occurs mainly at the posterior lip of the urethra, and the exact aetiology is still uncertain. More often it was seen in the postmenopausal women, and only few cases are reported in young girls. Patients may be asymptomatic and could find this as an incidental finding or they may present with symptoms such as dysuria, bleeding per vagina, haematuria, a mass protruding through vagina, and acute retention of urine. Here, we report the case history of a 4-year-old girl presented with vaginal bleeding which was taken as she has attended menarche and found to have urethral caruncle which was the cause for bleeding. Histology confirmed the diagnosis, and girl was completely cured following surgical excision.
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publishDate 2018-01-01
publisher Wiley
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series Case Reports in Pediatrics
spelling doaj-art-05b0cd950f7f488b926948e51851736a2025-02-03T06:10:59ZengWileyCase Reports in Pediatrics2090-68032090-68112018-01-01201810.1155/2018/34860323486032Urethral Caruncle Presented as Premature Menarche in a 4-Year-Old GirlManori Gamage0D. Beneragama1Department of Paediatrics, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri LankaDepartment of Pathology, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri LankaUrethral caruncle (UC) is a benign fleshy outgrowth at the urethral meatus. It was first described by Samuel Sharp in 1750 and occurs mainly at the posterior lip of the urethra, and the exact aetiology is still uncertain. More often it was seen in the postmenopausal women, and only few cases are reported in young girls. Patients may be asymptomatic and could find this as an incidental finding or they may present with symptoms such as dysuria, bleeding per vagina, haematuria, a mass protruding through vagina, and acute retention of urine. Here, we report the case history of a 4-year-old girl presented with vaginal bleeding which was taken as she has attended menarche and found to have urethral caruncle which was the cause for bleeding. Histology confirmed the diagnosis, and girl was completely cured following surgical excision.http://dx.doi.org/10.1155/2018/3486032
spellingShingle Manori Gamage
D. Beneragama
Urethral Caruncle Presented as Premature Menarche in a 4-Year-Old Girl
Case Reports in Pediatrics
title Urethral Caruncle Presented as Premature Menarche in a 4-Year-Old Girl
title_full Urethral Caruncle Presented as Premature Menarche in a 4-Year-Old Girl
title_fullStr Urethral Caruncle Presented as Premature Menarche in a 4-Year-Old Girl
title_full_unstemmed Urethral Caruncle Presented as Premature Menarche in a 4-Year-Old Girl
title_short Urethral Caruncle Presented as Premature Menarche in a 4-Year-Old Girl
title_sort urethral caruncle presented as premature menarche in a 4 year old girl
url http://dx.doi.org/10.1155/2018/3486032
work_keys_str_mv AT manorigamage urethralcarunclepresentedasprematuremenarcheina4yearoldgirl
AT dbeneragama urethralcarunclepresentedasprematuremenarcheina4yearoldgirl