088 Mullerian anomaly as incidental finding in a neonate with vaginal bleeding

Abstract

Objective: Overt vaginal bleeding in newborns occurs in up to 11% of patients secondary to effects of hormone exposure present in utero [ [1] Söderström H.F. Carlsson A. Börjesson A. Elfving M. Vaginal bleeding in prepubertal girls: etiology and clinical management. J Pediatr Adolesc Gynecol. 2016; 29: 280-285 Abstract Full Text Full Text PDF PubMed Scopus (23) Google Scholar ]. Designated as “mini menses”, presentation includes blood-tinged vaginal discharge in the first ten days of life. While “mini-menses” are physiologic, heavier or persistent bleeding has been described in underlying vascular and vaginal anomalies, as well as rare tumors [ 2 Handel L.N. Scott S.M. Giller R.H. Greffe B.S. Lovell M.A. Koyle M.A. New perspectives on therapy for vaginal endodermal sinus tumors. J Urol. 2002; 168: 687-690 Crossref PubMed Scopus (28) Google Scholar , 3 Melcer Y. Smorgick N. Fuchs N. Vaknin Z. Lotan G. Pansky M. Vaginal müllerian cyst: an unusual cause of vaginal bleeding in a 16-month-old girl. J Pediatr Adolesc Gynecol. 2014; 27: e21-e22 Abstract Full Text Full Text PDF PubMed Scopus (3) Google Scholar , 4 Ganti A.K. Ray J. Mooney K.L. Zambrano E. Hillard P.J. Fok W. Unusual cause of pediatric vaginal bleeding: infantile capillary hemangioma of the cervix. J Pediatr Adolesc Gynecol. 2019; 32: 80-82 Abstract Full Text Full Text PDF PubMed Scopus (4) Google Scholar ]. To our knowledge, there are no reported cases of neonatal vaginal bleeding associated with uterus didelphys. We present a case of a neonate with atypical vaginal bleeding who was found to have a congenital uterine anomaly (CUA).