Acute Spontaneous Hematotrachelos Following Methotrexate Treatment of a Suspected Tubal Pregnancy

Sherer, David M.; Eugene, Pierre; Gorelick, Constantine; Ramachandran, Satheya; Serur, Eli; Kheyman, Mila; Abulafia, Ovadia

doi:10.7863/jum.2006.25.8.1091

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…Acquired obstruction of the lower female genital tract is rare. These acquired problems are caused by iatrogenic interventional traumas to the uterine cervix such as cone biopsies, loop electrosurgical procedures, dilation and curettage, obstetric lacerations, cervical or endometrial carcinoma, and radiation therapy [9, 10, 11, 12, 13, 14]. Spontaneous obstruction is generally uncommon but has been reported recently [15].…”

Section: Discussionmentioning

confidence: 99%

Management of hematometrocolpos due to dysfunctional uterine bleeding following progestin use: a case report

Bakacak

Avci

Bostancı

et al. 2014

North Clin Istanbul

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Hematometrocolpos is accumulation of blood in the vagina and uterine cavity due to intra-uterine hemorrhage. A 20-year-old female presented to our clinic with massive menorrhagia at menarche after progestin usage. Hematometrocolpos was detected by transabdominal ultrasonography. She was pale because of heavy bleeding for 5 days and hemoglobin level was measured as 5.1 g/dl. Initial treatment was blood transfusion and medical drug therapy. After resolution of the hematometrocolpos was shown by transabdominal ultrasound 2 days later, the patient, who was stable, was discharged without complication. Obstruction of the female genital outflow tract is rarely seen. Hematocolpos has been reported in elderly women following vaginal occlusion due to radiotherapy, vaginal fibroma and labial synechiae causing infection or inflammatory conditions. The case is presented here because of the successful management of hematometrocolpos due to massive dysfunctional uterine bleeding in a young virgin patient.

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