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Girl with genital bleeding and dysuria
  1. Mariangela Caruso1,
  2. Maria Antonietta Lembo2,
  3. Giorgio Cozzi3
  1. 1 Department of Maternal Infantile and Urological Sciences, Sapienza University of Rome, Rome, Italy
  2. 2 Department of Surgery, Institute for Maternal and Child Health—IRCCS Burlo Garofolo, Trieste, Italy
  3. 3 Emergency Department, Institute for Maternal and Child Health—IRCCS Burlo Garofolo, Trieste, Italy
  1. Correspondence to Dr Mariangela Caruso, Department of Maternal Infantile and Urological Sciences, Sapienza University of Rome, Rome 00185, Italy; mariangela.caruso{at}uniroma1.it

https://doi.org/10.1136/emermed-2020-210848

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    Clinical introduction

    A 10-year-old girl presented with genital bleeding and dysuria for 4 days. In the last 2 days, she needed to change pads four times a day. No trauma or fever was reported. She was taking fosfomycin for presumed urinary tract infection, without improvement of her symptoms. At physical examination, a red-soft doughnut-shaped mass at vaginal introitus was noted (figure 1). No signs of pubertal growth spurt were present.

    Figure 1

    Urethral prolapse recognised by the presence of ‘doughnut …

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    Footnotes

    • Contributors All authors contributed equally to the paper and approved the manuscript and this submission.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

    • Provenance and peer review Not commissioned; internally peer reviewed.