title: Vaginal müllerian cyst: an unusual cause of vaginal bleeding in a 16-month-old girl.
abstract: BACKGROUND
  Vaginal bleeding in premenarchal girls is always abnormal and its source must be identified for appropriate management. Examination under anesthesia and vaginoscopy are commonly employed for evaluation of the vagina as a source of bleeding, and the examination may occasionally reveal vaginal pathology.
  
  
  METHODS
  A 16-month-old otherwise healthy girl presented with spotting. Exam under general anesthesia and vaginoscopy revealed a 1-cm polypoid-like lesion overlying the posterior vaginal wall which was excised using the hysteroscope. Pathology revealed a benign Müllerian cyst.
  
  
  CONCLUSIONS
  Vaginal findings of causes of premenarchal bleeding such as Mullerian cysts may be diagnosed and treated with the vaginoscopic approach.
authors.affiliation: Department of Obstetrics and Gynecology, Asaf Harofeh Medical Center, Zerifin, affiliated with the Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
authors.forename: Yaakov
authors.initials: Y
authors.lastname: Melcer
authors.affiliation: Department of Obstetrics and Gynecology, Asaf Harofeh Medical Center, Zerifin, affiliated with the Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel. Electronic address: noam_yossi@yahoo.com.
authors.forename: Noam
authors.initials: N
authors.lastname: Smorgick
authors.affiliation: Department of Obstetrics and Gynecology, Asaf Harofeh Medical Center, Zerifin, affiliated with the Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
authors.forename: Noga
authors.initials: N
authors.lastname: Fuchs
authors.affiliation: Department of Obstetrics and Gynecology, Asaf Harofeh Medical Center, Zerifin, affiliated with the Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
authors.forename: Zvi
authors.initials: Z
authors.lastname: Vaknin
authors.affiliation: Department of Obstetrics and Gynecology, Asaf Harofeh Medical Center, Zerifin, affiliated with the Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
authors.forename: Gad
authors.initials: G
authors.lastname: Lotan
authors.affiliation: Department of Obstetrics and Gynecology, Asaf Harofeh Medical Center, Zerifin, affiliated with the Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
authors.forename: Moty
authors.initials: M
authors.lastname: Pansky
mesh_terms: D003560:Cysts / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant; D014592:Uterine Hemorrhage / Q000209:etiology*; D014623:Vaginal Diseases / Q000150:complications* / Q000601:surgery
keywords: Benign Mullerian cyst; Hysteroscopy; Premenarchal vaginal bleeding