Imperforate Hymen Causing Hematocolpos and Urinary Retention

Abraham, Cynthia

doi:10.1016/j.jemermed.2019.03.014

Cited by 23 publications

(22 citation statements)

References 3 publications

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“…The collection of blood in the vagina and the uterus is the main cause of the majority of clinical presentations of imperforate hymen after menarche. The most frequent symptoms are cyclic pain of the lower abdomen and symptoms of the genito-urinary system [5,6]. Data from a recent systematic review on imperforate hymen demonstrated that perineal pain was the presenting clinical genitourinary symptom in 0.4% of all cases (1 in 236 patients) [1].…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Imperforate Hymen Presenting with Perineal Pain

Zacharis¹,

Klimatsouda²,

Donoudis³

et al. 2021

austiniobstetgynecol

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Introduction: Imperforate hymen is a rare local fusion anomaly of the female reproductive tract and diagnosis can be easily missed. Cyclic lower abdominal pain and amenorrhea are common symptoms in cases left untreated after menarche. Perineal pain may be an unusual presenting symptom of imperforate hymen. In order to avert complications related to delayed treatment, hymenotomy is considered effective management. Case Report: We herein describe a case of a 13-year-old adolescent girl with an imperforate hymen presenting with lower abdominal and perineal pain. The girl underwent and hymenotomy and postoperative period was uneventful. Perineal and pelvic pain relieved instantly after surgical treatment and during follow up her menstrual cycles were regular.

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Section: Discussionmentioning

confidence: 99%

A Rare Case of Imperforate Hymen Presenting with Perineal Pain

Zacharis¹,

Klimatsouda²,

Donoudis³

et al. 2021

austiniobstetgynecol

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“…[ 7 ] However, in the reported literature, prenatal ultrasonography examination showed patients with imperforate hymen having normal kidneys, with hydronephrosis occurring after birth. [ 8 , 9 ] Although mild hydronephrosis is often physiological, severe hydronephrosis may lead to renal obstruction. [ 10 ] Other potential etiologies of hydronephrosis include posterior urethral valves, ureteral obstruction, and urolithiasis.…”

Section: Discussionmentioning

confidence: 99%

A case report of hydronephrosis caused by imperforate hymen in an infant

et al. 2020

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Rationale: Hydronephrosis, mostly caused by ureteropelvic junction obstruction, rarely occurs in infants. However, imperforate hymen atresia in female infants may cause hydronephrosis, even though it is rare. Patient concerns: A 3-month-old female infant was admitted to our hospital for frequent crying. There was no significant past medical history. Diagnoses: Following ultrasound imaging, the patient was diagnosed with hydronephrosis possibly caused by imperforate hymen. Interventions: The infant underwent hymenotomy with a cruciate incision to prevent future complications such as acute renal injury. Outcomes: Hydronephrosis resolved after the operation. The outcome was very good, with no complications in the postoperative period. Conclusions: Early ultrasound diagnosis plays a significant role in the management and treatment of infant patients. Ultrasound is the mandatory imaging technology for determining the cause of hydronephrosis.

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“…El himen imperforado es de manejo quirúrgico. En nuestro caso realizamos una himenotomía que permitió el drenaje del hidrocolpos 9 y luego se procede a completar el tratamiento con una himenectomía, que consiste en resecar la membrana himeneal en forma amplia para evitar recurrencia y complicaciones 11 , en el mismo tiempo quirúrgico.…”

Section: Discussionunclassified

“…En la adolescente el hematocolpos, se manifiesta clínicamente en una paciente con fenotipo femenino en estadio Tanner 4 mamario, amenorrea primaria, asociado a historia de dolor pélvico o abdominopélvico cíclico crónico 9 , otros síntomas son dolor lumbar, retención urinaria, alteraciones miccionales 10,11 . Al examen físico se evidencia una vulva de aspecto nor-mal, en el introito se observará el meato uretral en una posición correcta y la zona de la apertura vaginal estará cubierta por una membrana, la que puede estar protuberante o a tensión; en algunos casos azulosa, si ya se han iniciado los ciclos menstruales.…”

Section: Introductionunclassified

Diagnóstico y manejo de Himen Imperforado en una lactante menor

et al. 2020

Rev Chil Pediatr

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El himen imperforado es la malformación congénita más frecuente del tracto genital femenino. La mayoría de los casos no se pesquisan en la infancia, debido a un examen genital insuficiente. Su diagnóstico y resolución deben ser precoces y definitivas para evitar complicaciones posteriores.Objetivo: Presentar el caso de una lactante portadora de himen imperforado, y actualizar la informacion sobre las técnicas de examen genital para detectar esta patologia en forma precoz y su tratamiento.Caso Clínico: Lactante de 3 meses, consultó por aumento de volumen protruyente en la zona del introito. En el examen físico se realizó maniobra de valsalva que dio salida a una masa homogénea, nacarada de superficie lisa, entre los labios mayores, sugerente himen imperforado. Se complementó el estudio con ultrasonido ginecológico, el que demostró la presencia de hidrocolpos, descartando otras anomalías. Se realizó una himenotomía, que dió salida a abundante material seroso, sin mal olor, y luego se completó la himenectomía mediante la resección de la membrana himeneal. En control al 4to mes posterior a la intervención se constató un himen ampliamente permeable.Conclusión: Los equipos de atención neonatal, requieren capacitación acerca de la técnica correcta del examen genital externo de la recién nacida y lactante. La himenectomía es la técnica que permite resolver definitivamente el cuadro evitando complicaciones.

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Imperforate Hymen Causing Hematocolpos and Urinary Retention

Cited by 23 publications

References 3 publications

A Rare Case of Imperforate Hymen Presenting with Perineal Pain

A Rare Case of Imperforate Hymen Presenting with Perineal Pain

A case report of hydronephrosis caused by imperforate hymen in an infant

Diagnóstico y manejo de Himen Imperforado en una lactante menor

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