THE INCIDENCE of some anomalies of the genitourinary tract is relatively rare. The coexistence of several in a 6-year-old child warrants this report.
Report of a Case
A 6-year-old white girl was admitted to the Worcester Hahnemann Hospital on March 5, 1962, with dribbling after voiding and a bulging membrane at the introitus.Three months prior to admission, a greenish, mucous vaginal discharge was found on the girl's clothing for one day. Following this, the child dribbled between voidings and her clothing was constantly damp. With coughing, the dribbling became worse. Although voiding at normal intervals, she had urgency and dysuria at times. Difficulty in initiating micturition was noted. Nocturia occurred accasionally.The history was noncontributory. Results of physical examination were normal except that a bluish-gray membrane, 2 cm in diameter, bulged from the vaginal orifice. With coughing, the membrane ballooned out and a trickle of clear fluid was seen.