Journal article
What is your diagnosis? Labial adhesions – Classification and treatment
Journal of Clinical Images and Medical Case Reports, v 2(3)
05 May 2021
Abstract
An 8-month-old Caucasian female infant with a history of two urinary tract infections presented with fever, poor oral intake, and increased irritability for 3 days prior to presentation. The mother reported a fever T max 103F and a strong odor of urine. Mother denied any cold, cough, diarrhea, vomiting, rash, and sick contacts at home. Her initial vitals were normal other than a temperature of 101F. The infant was alert, active and comfortable in her mother’s lap. On examination of her external genitalia, there was fused labia minora at the midline forming a midline raphe, and pinhole urethral opening was also noted (Figure 1). Due to close approximation of labia minora and tiny urethral opening, we were unbale to catheterize the bladder. According to the mother, previous attempts to catheterize the bladder for urinary samples were never successful as well. We confirmed the labial adhesions as shown in (Figure 1) based on our clinical examination and a presumptive diagnosis of UTI was made based on a positive bag urine sample and her symptoms.
Metrics
28 Record Views
Details
- Title
- What is your diagnosis? Labial adhesions – Classification and treatment
- Creators
- Giridhar GuntreddiJayasree Vasudevan NairSwayam P NirujogiSanford Medical Center, 1300 Anne St NW, Bemidji, MN 56601, USA
- Publication Details
- Journal of Clinical Images and Medical Case Reports, v 2(3)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Other Identifier
- 991021838686804721