Journal of pediatric and adolescent gynecology · 2017
Foley Catheter as a Vaginal Stent in a Toddler with Vaginal Rhabdomyosarcoma.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Fowler Kylie G, Mohindra Pranshu, Kim Aerang, Gomez-Lobo Veronica
Аннотация
BACKGROUND: Sarcoma botryoides is a variant of embryonal rhabdomyosarcoma with cure rates exceeding 90%. Vaginal presentation is rare and treatment includes chemotherapy and local radiation. Sequelae of vaginal radiation in this age group have not been well defined. However, vaginal stenosis is a known result of pelvic radiation in adult women with vaginal dilation as the primary method of prevention and treatment.
CASE: An 18-month-old child was diagnosed with vaginal rhabdomyosarcoma and underwent chemotherapy and vaginal brachytherapy radiation treatment. Six weeks after completion of radiation, vaginoscopy was performed with placement of a nonlatex Foley catheter to prevent vaginal stricture. When removed, vaginal patency was normal with no vaginal erosion.
SUMMARY AND CONCLUSION: Use of a soft, flexible, nonlatex catheter might prevent vaginal stricture in a young child.
CASE: An 18-month-old child was diagnosed with vaginal rhabdomyosarcoma and underwent chemotherapy and vaginal brachytherapy radiation treatment. Six weeks after completion of radiation, vaginoscopy was performed with placement of a nonlatex Foley catheter to prevent vaginal stricture. When removed, vaginal patency was normal with no vaginal erosion.
SUMMARY AND CONCLUSION: Use of a soft, flexible, nonlatex catheter might prevent vaginal stricture in a young child.