Burkitt lymphoma Archives - Revista Brasileira de Ginecologia e Obstetrícia

  • Case Report

    Abnormal Uterine Bleeding in Adolescence: When Menarche Reveals other Surprises

    Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(10):789-792

    Summary

    Case Report

    Abnormal Uterine Bleeding in Adolescence: When Menarche Reveals other Surprises

    Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(10):789-792

    DOI 10.1055/s-0041-1736143

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    Abstract

    Introduction

    Abnormal uterine bleeding is more frequent in adolescence. Although, most commonly, it has a non-structural etiology, it may be due to any cause described.

    Clinical case

    A 12-year-old adolescent, with no relevant personal history, menarche 1 month before, was observed in the emergency department for severemenstrual bleeding with progressive worsening, and hemodynamic repercussion in need of transfusion support. Physiological ovulatory dysfunction associated with possible previously unknown coagulopathy was considered to be the most likely diagnosis and medical treatment was initiated. Without response, the patient was submitted to sedated observation and uterine aspiration, which ultimately led to the diagnosis of a Burkitt Lymphoma.

    Discussion

    Although structural causes, and particularly malignancy, whether gynecological or not, are a rare cause of abnormal uterine bleeding in this age group, they must be considered, thus enhancing the fastest and most appropriate treatment.

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    Abnormal Uterine Bleeding in Adolescence: When Menarche Reveals other Surprises

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