Female Genital Hair-Thread Tourniquet Syndrome: A Case Report and Literature Systematic Review
| Autor: | Elena Arosio, Matteo Frigerio, Stefano Manodoro, Sara Lazzarin, Luigi Antonio De Vitis, Marta Barba, Marco Spinelli, Silvia Molinari |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Tourniquet 030219 obstetrics & reproductive medicine business.industry medicine.medical_treatment Forceps Obstetrics and Gynecology Clitoris General Medicine Surgery Lesion 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Amputation Tongue Labia minora Pediatrics Perinatology and Child Health medicine Sex organ 030212 general & internal medicine medicine.symptom business |
| Zdroj: | Journal of Pediatric and Adolescent Gynecology. 34:65-70 |
| ISSN: | 1083-3188 |
| DOI: | 10.1016/j.jpag.2020.07.007 |
| Popis: | "Hair-thread tourniquet syndrome" (HTTS) describes the condition in which fibers of hair or thread wrap around an appendage (ie, toes, fingers, genital structures, tongue, uvula, and neck), eventually causing ischemia and tissue necrosis. To date, few cases of female genitalia HTTS have been described. We report a case of female genitalia HTTS in a 5-year-old girl and report the state of the art by systematically reviewing all existing evidence about female genital HTTS. A total of 29 studies, describing a total of 34 patients, were identified. The presence of a hair-thread wrapping genitalia should be suspected in prepubertal girls complaining of genital pain associated with vulvar/vaginal swelling, wide-based gait, and voiding symptoms. Genital examination disclosing an extremely tender, swollen, and erythematous lesion on the clitoris or labia minora encircled by a hair confirms the diagnosis. The aim of the management is to remove the hair-thread in the shortest time possible, with the use of forceps, scissors, or scalpels, and this is often performed under sedation/anesthesia because of the patient's pain reaction. When the hair-thread is difficult to find or when the lesion is necrotic, excision of the lesion itself can be the only option. Complications include partial or total amputation because of tissue necrosis and recurrence. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect