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Vaginal mass presenting to a paediatric emergency department
  1. Carolina Vega1,
  2. Yang Liu2,
  3. Rajan Arora1
  1. 1 Pediatric Emergency Medicine, Children’s Hospital of Michigan, Detroit, Michigan, USA
  2. 2 General Surgery, Detroit Medical Center, Detroit, Michigan, USA
  1. Correspondence to Dr Carolina Vega, Pediatric Emergency Medicine, Children’s Hospital of Michigan, Detroit, MI 48201, USA; cvega{at}dmc.org

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Clinical introduction

A 15-month-old female infant presented to the paediatric ED with a lump in the vagina. The lump was first noted 2 days prior by the parent and would sometimes protrude or recede into the vagina during diaper changes. The infant was otherwise doing well, with no fevers, change in appetite, fatigue or weight loss. The site had no bleeding, drainage, pruritus or pain, and there was no preceding trauma. On examination of the alert, interactive infant, there was a 2.5 cm pink …

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