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Case Report
Abnormal Uterine Bleeding in Adolescence: When Menarche Reveals other Surprises
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(10):789-792
12-17-2021
Summary
Case ReportAbnormal Uterine Bleeding in Adolescence: When Menarche Reveals other Surprises
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(10):789-792
12-17-2021Views164See moreAbstract
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.
Views164
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Summary
Case ReportAbnormal Uterine Bleeding in Adolescence: When Menarche Reveals other Surprises
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(10):789-792
12-17-2021Views164See moreAbstract
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.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Burkitt lymphoma Archives - Revista Brasileira de Ginecologia e Obstetrícia
