Management of Hematometra and Hematocolpos in Obstructive Mullerian Anomalies by Image-Guided Drainage with Interventional Radiology: A Multi-Institutional Case Series

Childress, Krista J.; Williams, Ashley K.; Somasundaram, Aravind; Alaniz, Veronica I.; Chan, Serena H.; Gill, Anne E.

doi:10.1016/j.jpag.2023.02.006

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…The choice depends on the severity and complexity of the condition, in addition to the available resources. A recent study investigated the role of interventional radiology and image‐guided drainage 10 . Another new method is virginity‐sparing surgery which may be a better option for young ladies, especially in a conservative society as in Sudan 11,12 .…”

Section: Discussionmentioning

confidence: 99%

“…A recent study investigated the role of interventional radiology and image‐guided drainage. 10 Another new method is virginity‐sparing surgery which may be a better option for young ladies, especially in a conservative society as in Sudan. 11 , 12 Hysterectomy is considered a last option if the symptom‐relieving methods have failed or on the patient's request.…”

Section: Discussionmentioning

confidence: 99%

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A rare cause of amenorrhea: Hematocolpos in a post‐cystocele repair patient

Mohammed,

Elgadi,

Nuri

2024

Clinical Case Reports

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Key Clinical MessageSecondary hematocolpos is a rare but serious complication after cystocele repair. This warrants multidisciplinary management (gynecology and urology) to optimize outcomes & minimize iatrogenic risks.AbstractHematocolpos is the term used for the accumulation of menstrual blood in the vagina. It is most commonly seen in adolescent girls but can also occur in elderly women as a result of gynecological conditions. We present the case of a 48‐year‐old female who presented with amenorrhea and abdominal pain following surgical repair of a cystocele. Investigation revealed secondary hematocolpos due to surgical trauma. Surgical drainage and correction of the uterus were performed, resulting in immediate pain relief. This case underscores the importance of considering hematocolpos in patients with post‐surgical amenorrhea, and further research is needed to better understand its causes, risk factors, and optimal management strategies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A rare cause of amenorrhea: Hematocolpos in a post‐cystocele repair patient

Mohammed,

Elgadi,

Nuri

2024

Clinical Case Reports

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Multiple drugs

2023

Reactions Weekly

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A case of image-guided hematometrocolpos drainage requiring tissue plasminogen activator in a pediatric patient

Sharma,

Shah,

Sokkary

2024

Journal of Surgical Case Reports

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Hematometrocolpos (HMC) is a rare disorder that occurs when an anatomical anomaly like imperforate hymen causes menstrual blood to be retained in the uterus and vagina. There is no standard of care established for HMC beyond urgent vaginoplasty which requires a demanding post-operative course that may not be suited for all pediatric patients. This is a case report of successful use of image-guided percutaneous drainage of HMC with tissue plasminogen activator (TPA) followed by vaginoplasty in a 13-year-old female with lower vaginal atresia. Additionally, this case explores the role of menstrual suppression and the need for individualized guidelines. It emphasizes the potential of image-guided percutaneous drainage with TPA as a promising, less-invasive treatment option for pediatric HMC as well as the impact on follow-up surgery.

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Management of Hematometra and Hematocolpos in Obstructive Mullerian Anomalies by Image-Guided Drainage with Interventional Radiology: A Multi-Institutional Case Series

Cited by 3 publications

References 10 publications

A rare cause of amenorrhea: Hematocolpos in a post‐cystocele repair patient

A rare cause of amenorrhea: Hematocolpos in a post‐cystocele repair patient

Multiple drugs

A case of image-guided hematometrocolpos drainage requiring tissue plasminogen activator in a pediatric patient

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