A 3-year-old girl was referred for evaluation of painless vaginal bleeding. Her initial evaluation was nondiagnostic. The girl's physical examination was remarkable only for an infantile hemangioma of her right hand. A vaginoscopy was performed and a hemangioma of the anterior vaginal wall was identified. The patient was managed conservatively. Her bleeding has decreased in amount and frequency.
Infantile hemangiomas are a potential cause of vaginal bleeding in young girls and should be suspected if a child has a hemangioma on another part of their body. Most infantile hemangiomas resolve without therapy.