Background: A genital outflow tract obstruction is an uncommon cause of primary amenorrhea. If ovulation occurs, menstrual bleeding is prevented. Patients typically present with abdominal/pelvic pain due to hematocolp...Background: A genital outflow tract obstruction is an uncommon cause of primary amenorrhea. If ovulation occurs, menstrual bleeding is prevented. Patients typically present with abdominal/pelvic pain due to hematocolpos. Absence of significant hematocolpos could indicate a secondary source of primary amenorrhea and be challenging to the clinical diagnosis. Case: 17 year-old patient with primary amenorrhea, appropriate Tanner staging secondary sex characteristics, and transverse vaginal septum presents with virtual absence of hematocolpos. After vaginal septum resection, the patient began menstruating, although only evidenced by two cycles of vaginal spotting. Conclusion: Significant hematocolpos is an expected sequella of distal outlet obstruction when collated with secondary sexual characteristics. Absence of such along with suboptimal return of menstruation reflects pathophysiology which may be attributed to a coexistent disorder of the hypothalamus or higher central nervous system function.展开更多
BACKGROUND Imperforate hymen is a rare obstructive anomaly of the female reproductive tract.It is associated with complications,such as cyclical abdominal pain,urinary retention,and pelvic mass.CASE SUMMARY A 13-year-...BACKGROUND Imperforate hymen is a rare obstructive anomaly of the female reproductive tract.It is associated with complications,such as cyclical abdominal pain,urinary retention,and pelvic mass.CASE SUMMARY A 13-year-old girl presented several times to the emergency room with lower abdominal pain for a year.She received conservative treatment,such as pain control,at each visit.She visited our gynecological clinic for worsening pain,and a 14-cm hematocolpos was found on ultrasonography.She was finally diagnosed with an imperforate hymen with hematocolpometra.Hymenectomy was performed,which resulted in event-free regular cyclical menstruation.CONCLUSION Imperforate hymen should be considered in a premenarcheal adolescent girl with periodic abdominal pain.展开更多
Background: Imperforate hymen (IH) is formed if no canal is created between the vaginal plate and the urogenital sinus. Treatment of IH is surgical. Different types of incisions and postoperative treatment are propose...Background: Imperforate hymen (IH) is formed if no canal is created between the vaginal plate and the urogenital sinus. Treatment of IH is surgical. Different types of incisions and postoperative treatment are proposed. Case: A 12-year-old girl presented with a 3-day history of pain in the lower abdomen. Examination of the external genitalia disclosed a bulging hymen. Ultrasound examination of her lower abdomen revealed hematocolpos. A diagnosis of hematocolpos caused by IH was established and surgical treatment was decided. Conclusion: Treatment of choice for IH is undeniably surgical. Although different types of procedures have been proposed, the surgeon should choose the one that best suits the patient’s needs without harming anatomical structures closely related to the hymen.展开更多
Imperforate hymen?is a congenital obstructive abnormality of the female genital tract and its incidence is estimated at 1/2000 female births. The diagnosis may go unnoticed during the examination of the new born in th...Imperforate hymen?is a congenital obstructive abnormality of the female genital tract and its incidence is estimated at 1/2000 female births. The diagnosis may go unnoticed during the examination of the new born in the birth room. Most often, this malformation is discovered at puberty.?Treatment of?Imperforate hymen?is hymenotomy or hymenectomy. Different types of incisions are mentioned in the literature. We have reported the case of a 14-year-old?girl with hematocolpos and hematometra on hymenal impforforate. In cultures and religions where the loss of the hymen is a social problem among unmarried girls, a medical certificate must be given to the patient.展开更多
文摘Background: A genital outflow tract obstruction is an uncommon cause of primary amenorrhea. If ovulation occurs, menstrual bleeding is prevented. Patients typically present with abdominal/pelvic pain due to hematocolpos. Absence of significant hematocolpos could indicate a secondary source of primary amenorrhea and be challenging to the clinical diagnosis. Case: 17 year-old patient with primary amenorrhea, appropriate Tanner staging secondary sex characteristics, and transverse vaginal septum presents with virtual absence of hematocolpos. After vaginal septum resection, the patient began menstruating, although only evidenced by two cycles of vaginal spotting. Conclusion: Significant hematocolpos is an expected sequella of distal outlet obstruction when collated with secondary sexual characteristics. Absence of such along with suboptimal return of menstruation reflects pathophysiology which may be attributed to a coexistent disorder of the hypothalamus or higher central nervous system function.
文摘BACKGROUND Imperforate hymen is a rare obstructive anomaly of the female reproductive tract.It is associated with complications,such as cyclical abdominal pain,urinary retention,and pelvic mass.CASE SUMMARY A 13-year-old girl presented several times to the emergency room with lower abdominal pain for a year.She received conservative treatment,such as pain control,at each visit.She visited our gynecological clinic for worsening pain,and a 14-cm hematocolpos was found on ultrasonography.She was finally diagnosed with an imperforate hymen with hematocolpometra.Hymenectomy was performed,which resulted in event-free regular cyclical menstruation.CONCLUSION Imperforate hymen should be considered in a premenarcheal adolescent girl with periodic abdominal pain.
文摘Background: Imperforate hymen (IH) is formed if no canal is created between the vaginal plate and the urogenital sinus. Treatment of IH is surgical. Different types of incisions and postoperative treatment are proposed. Case: A 12-year-old girl presented with a 3-day history of pain in the lower abdomen. Examination of the external genitalia disclosed a bulging hymen. Ultrasound examination of her lower abdomen revealed hematocolpos. A diagnosis of hematocolpos caused by IH was established and surgical treatment was decided. Conclusion: Treatment of choice for IH is undeniably surgical. Although different types of procedures have been proposed, the surgeon should choose the one that best suits the patient’s needs without harming anatomical structures closely related to the hymen.
文摘Imperforate hymen?is a congenital obstructive abnormality of the female genital tract and its incidence is estimated at 1/2000 female births. The diagnosis may go unnoticed during the examination of the new born in the birth room. Most often, this malformation is discovered at puberty.?Treatment of?Imperforate hymen?is hymenotomy or hymenectomy. Different types of incisions are mentioned in the literature. We have reported the case of a 14-year-old?girl with hematocolpos and hematometra on hymenal impforforate. In cultures and religions where the loss of the hymen is a social problem among unmarried girls, a medical certificate must be given to the patient.
