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Intrauterine Foley Balloon Catheter to Manage Acute Heavy Menstrual Bleeding in a Perimenarchal 10-Year-Old Girl

Stanley, Jennifer DO; Adeyemi-Fowode, Oluyemisi MD

doi: 10.1097/AOG.0000000000003330
Contents: Pediatric and Adolescent Gynecology: Case Report
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BACKGROUND: Intrauterine balloon tamponade is commonly used to treat postpartum hemorrhage refractory to pharmacologic interventions. It has not been well-studied in girls or adolescents for treatment of acute heavy menstrual bleeding.

CASE: A 10-year old girl presented with heavy menstrual bleeding that did not respond to medical management. Placement of a Foley catheter for intrauterine tamponade was used to control bleeding. She was subsequently diagnosed with a platelet function disorder.

CONCLUSION: Foley catheter placement is a low-risk, low-cost, and readily accessible option for intrauterine tamponade to consider for young girls and adolescents with acute heavy menstrual bleeding resistant to medical management.

Foley catheter placement is a low-risk, low-cost, and readily accessible option for intrauterine tamponade in young girls and adolescents with acute heavy menstrual bleeding.

Division of Pediatric and Adolescent Gynecology, Department of Obstetrics & Gynecology, Baylor College of Medicine, Houston, Texas.

Corresponding author: Oluyemisi Adeyemi-Fowode, MD, Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX 77030; email: adeyemi@bcm.edu.

Financial Disclosure The authors did not report any potential conflicts of interest.

The authors thank Don Dyer, MD, who illustrated the technique.

Each author has confirmed compliance with the journal's requirements for authorship.

Peer reviews and author correspondence are available at http://links.lww.com/AOG/B397.

© 2019 by the American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.