Rupture spontanée de l’imperforation de l’hymen chez deux nouveau-nés

Hamouda, H. Ben; Ghanmi, S.; Soua, H.; Sfar, M. T.

doi:10.1016/j.arcped.2015.11.022

Cited by 6 publications

(4 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…9 Female fetuses or neonates with an imperforate hymen leading with hydrometrocolpos caused by maternal estrogen may incidentally discover during the antenatal period on obstetrics ultrasound or postnatally present with a variety of clinical manifestations. 1,2,6 The clinical presentations of HMC depend on the degree of compression of the surrounding structures. Frequently, the urinary tract is compressed causing varying degrees of hydronephrosis.…”

Section: Discussionmentioning

confidence: 99%

“…2 Female fetuses or neonates with an imperforate hymen leading to hydrocolpos or hydrometrocolpos caused by maternal estrogen may incidentally discover during the antenatal period on obstetrics ultrasound or postnatally present with a variety of clinical manifestations. 1,2,6 Early diagnosis of hydrometrocolpos reduces the risk of developing complications, 2 such as urinary tract obstruction, renal failure, recurrent UTI, rupture of HMC, peritonitis, and sepsis. 1,2,7 Imperforate hymen is generally managed by hymenotomy (surgical incision of the hymen) or hymenectomy (surgical removal of the hymen).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Neonatal Hydrometrocolpos Secondary to Imperforate Hymen Presented with Acute Urinary Retention: Case Report

Tegene,

Assefa,

Edris

2023

RRN

View full text Add to dashboard Cite

Background: Hydrometrocolpos is a rare clinical condition characterized by the accumulation of fluid or mucus secretions in the vagina and uterus due to distal vaginal obstruction. Imperforate hymen is the most common cause of congenital hydrometrocolpos. The diagnosis of congenital hydrometrocolpos can be made prenatally or postnatally. Imperforate hymen is generally managed by hymenotomy or hymenectomy. Case Presentation: This is a 26-day-old female neonate who was born from a 29-year-old Para −3 mother after 9 months of amenorrhea. ANC follow-up was uneventful except her obstetric ultrasound scan at 36+3 weeks found a fetal lower intra-abdominal mass. Without proper postnatal evaluation, the neonate was discharged home with the mother after 12 hours of vaginal delivery. Currently, the neonate was referred to our hospital with the diagnosis of Acute Urinary retention, 2 o Hydrometrocolpos, after having frequent crying, abdominal distension, and failure to pass urine of 2 days duration. On physical examination, there was a tender, cystic, and mobile mass palpable in the lower abdomen, and up to opening the labia there was a curved membrane covering the vaginal opening. Abdomino-pelvic ultrasound and Magnetic Resonance Imaging confirmed the hydrometrocolpos and imperforate hymen. After obtaining informed consent from the family, a vertical incision and annular hymenotomy were done to drain 200mL of milky fluid. A follow-up ultrasound was done to confirm the resolution of HMC and neonate discharge on the 4th day with improvement. Conclusion: A high index of suspicion and immediate postnatal evaluation of neonates presented with prenatal U/S showing intraabdominal mass will result in early diagnosis and treatment of neonatal hydrometrocolpos before the development of complications.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Neonatal Hydrometrocolpos Secondary to Imperforate Hymen Presented with Acute Urinary Retention: Case Report

Tegene,

Assefa,

Edris

2023

RRN

View full text Add to dashboard Cite

show abstract

“…12 Perforation of the hymen commonly occurs during fetal life or in the perinatal period, 13 but there are reports of spontaneous rupture of the hymen in the adolescent period. 14 The clinical presentation of imperforate hymen is varied ranging from an incidental finding, midline lower abdominal mass with or without protruding hymen, urinary retention, urinary tract infection, acute renal failure, constipation, acute abdomen with paralytic ileus, primary amenorrhea/cyclical abdominal pain and respiratory distress. 15 Most cases are diagnosed after menarche because of accumulation of blood in the vagina (hematocolpos) and the uterus (hematometra).…”

Section: Discussionmentioning

confidence: 99%

Virginity-sparing management of hematocolpos with imperforate hymen: case report and literature review

Egbe

Kobenge

Wankie

2019

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

Imperforate hymen results from failure of the endoderm of the urogenital sinus to completely canalize and has an incidence of 0.01% to 0.05%. This sometimes presents as a pelvic mass that compresses the bladder causing acute urinary retention. A 13-year-old girl was referred to our department with a history of primary amenorrhea, cyclic lower abdominal pain, abdominal-pelvic mass, constipation and acute urinary retention. She had an ultrasonography misdiagnosis of a huge ovarian mass before referral to our unit. On examination, the vagina was bulging and compressing the rectum. Repeat abdominal ultrasonography confirmed the diagnosis of hematometrocolpos. She underwent X-shaped hymenotomy with a favorable outcome. Diagnosis of imperforate hymen requires high suspicion index. Virginity-sparing surgery constitutes a good treatment option for cultural and religious reasons.

show abstract

“…In female neonates with an imperforate hymen, hematoma/hydrocolpos caused by maternal estrogen are incidentally discovered [23,24]. However, most of them with imperforate hymen present with symptoms such as: primary amenorrhea, cyclical pelvic pain or urinary retention secondary to hematocolpos or hematometrocolpos at puberty [8,19,25,26].…”

Section: Congenital Anomalies 21 Imperforate Hymenmentioning

confidence: 99%

Hematocolpos- variations: Case report

E. Soldatou,

D. Mavroeidi,

N. Perdikari

et al. 2024

World J. Adv. Res. Rev.

View full text Add to dashboard Cite

Hemato/hydrocolpos is an obstruction of the menstrual flow due to an anomaly of the genital tract, with imperforate hymen being the most common one, which is found in neonatal, infant, and adolescent girls. Diagnosis is often missed or delayed due to its rare incidence and nonspecific symptoms (usually misdiagnosed as constipation. In case of late diagnosis/ misdiagnosis and/or delay in treatment, late complications such as tubal adhesion, pelvic endometriosis, and infertility may develop. This article aimed to review the diagnosis and treatment of these urogenital anomalies by describing embryology, clinical presentation, imaging findings, surgical management, and postoperative outcomes.

show abstract

Rupture spontanée de l’imperforation de l’hymen chez deux nouveau-nés

Cited by 6 publications

References 13 publications

Neonatal Hydrometrocolpos Secondary to Imperforate Hymen Presented with Acute Urinary Retention: Case Report

Neonatal Hydrometrocolpos Secondary to Imperforate Hymen Presented with Acute Urinary Retention: Case Report

Virginity-sparing management of hematocolpos with imperforate hymen: case report and literature review

Hematocolpos- variations: Case report

Contact Info

Product

Resources

About