Pseudoacute abdomen in female caused by haematometrocolpos and haematosalpinx because hymen imperforatus: diagnosis and therapy of imperforate hymen

Abstract

<jats:title>Abstract</jats:title><jats:p>We present a case of atresia hymenalis in a 12.5 year old female who was admitted to gynecological emergency with a history of severe lower abdominal pains over the course of a few months. Provided are clinical pictures of the “Pseudoacute abdomen”. Upon clinical examination, we found blue, shiny, bulging and imperforated hymen. An abdominal mass was palpated in the vicinity of the navel. Transabdominal ultrasound demonstrated mass filled with thick liquid. “Mercedes hymenal incision” was performed in general anaesthesia. About 1.2 litre of dark, thick blood was removed. Postoperative course was uneventful. The two years of follow-up were characterized with regular psychomotoric development for the age with regular menstrual cycles.</jats:p>

A Comparative Analysis of Cryptomenorrhea in Patients with Vaginal Obstruction Vis a Vis Patients with Rudimentary non Communicating Horn of Uterus with Functional Endometrium: A Retrospective Study

“…[3] Ultrasonography and MRI revealed grade hydronephrosis with hematocolpos that was causing marked distension of the uterus and cervix. [4] The diagnosis of imperforate hymen was made under sedation during instrumentation for the procedure by inspection of the protuberant mass on retraction of the labia. The patient was taken into operating room and a simple cruciate incision was made on the hymen under general anaesthesia which resulted in drainage of 500ml of yellowish non bloody mucosal secretion from vagina.…”

“…Meraa Erna Vlahovic had reported a case of 12.5 years old girl who presented to the gynae emergency with pseudoacute abdomen with an abdominal mass and on examination was found to have slight bulging imperforate hymen and was treated with Mercedes hymenal incision and 1.2L of dark thick blood was drained out. [4] Obi O Ansiem reported a case of acute urinary retention secondary to imperforate hymen in a 14 years old Nigerian girl which was treated by a cruciate incision on the hymen. [5] Aslude et al have also reported two cases of hematocolpos in adolescent girls due to imperforate hymen.…”

Distant 10 years results of laparoscopic operative treatment in patients with varicocele

“…However, the diagnosis of varicocele and even presence of abnormalities in semen cells is not necessarily equal to a diagnosis of sterility. Epidemiologic data show that the rate of males suffering from varicocele reaches 15% [15], but the percentage of male patients with fertility disturbances reaches only 5% of the whole male population. It has been estimated that sterility concerns about 20.0% of patients with varicocele [1].…”