Imperforate Hymen Presenting with Massive Hematometra and Hematocolpos: A Case Report . Figure 2: Evacuation of hematocolpos and heamatometra. Hematometra a nd Hematocolpos: Ultrasound. Findings. x/79/ lolo. $ JOACHIM. F. SAILER’. An imperforate hymen is the most. A large hematometra and hematocolpos were detected by transabdominal ultrasound scanning. Transabdominal ultrasound depicted a distended uterus 90 mm.
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These acquired problems are caused by iatrogenic interventional traumas to the uterine cervix such as cone biopsies, loop electrosurgical procedures, dilation heamtometra curettage, obstetric lacerations, cervical or endometrial carcinoma, and radiation therapy [ 91011121314 ].
Ann Jose ankara escort. After one day, a chocolate-like fluid started hematocolos spill out from the vagina. You can help Wikipedia by expanding it. Journal of the American Medical Association. Persistent genital arousal disorder. The kidneys, ureters, uterus and ovaries were normal. Female infertility Recurrent miscarriage.
A 20 cmsized suprapubic, tender, cystic, and dull to percussion mass was found on abdominal examination. Surgery is always indicated when imperforate hymen becomes symptomatic we report the case of an imperforate hymen who presented late with delayed menarche, massive hematocolpos and hematometra.
Intravenous crystalloid infusion for the replacement of the blood volume may be given to a patient with an acute HMB episode which is causing anemia [ 19 ]. Antibiotics for acute otitis media in children. Decreased drainage of hmatometra debris rather than acute hemorrhage may have caused hematometrocolpos. Hematometra and extended vaginal haematoma after laser conization.
Diagnosis and management of hydrohematometrocolpos syndromes. Other reported bizarre modes of presentations of the complications of untreated imperforate hymen include pelvic infection with tubo-ovarian abscess, obstructive acute renal failure, non-urological urine retention, hematosalpinx, peritonitis, endometriosis, mucometrocolpos, constipation, hematlmetra recurrent urinary tract infection [ 3 – 6 ].
Adnexa Ovary Endometriosis of ovary Female infertility Anovulation Poor ovarian reserve Mittelschmerz Yematometra Ovarian apoplexy Ovarian cyst Corpus luteum cyst Follicular cyst of ovary Theca lutein cyst Ovarian hyperstimulation syndrome Ovarian torsion. Cochrane Database Syst Rev. Netter’s Obstetrics and Gynecology.
Hematocolpos – Wikipedia
Hymenal membrane before trimming of the edges. Pregnancy test was negative.
This article has been cited by other articles in PMC. Menorrhagia in adolescents with inherited bleeding disorders. She started tablets paracematol mg thrice daily for 4 days when she became fully conscious from the general anesthesia. She had been bleeding heavily for 5 days causing a drop in hemoglobin level down to 5. There can be four possible causes of Hematocolpos . Vircryl sutures were applied at four points on the edges of the hymen Figures 4 and 5.
A large hematometra and hematocolpos were detected by transabdominal ultrasound scanning.
Early diagnosis of imperforate hymen in the fetus, newborn or in childhood and timed hymenotomy at menarche would have prevented the complications. International Journal of Emergency Medicine. The diagnosis of an imperforate hymen can be made by the absence of the track of mucus at the posterior commissure of the labia majora in hematoclpos or by visualization of the bulging hymen he,atometra puberty [ 4 – 6 ].
They opted for a virginity-preserving hymenotomy. Written informed consent was obtained from the patient who participated in this study. Her abdomen was soft, hematocolops moderate tenderness of the lower abdomen without rebound. Antifibrinolytics have been reported to decrease bleeding in about half of the women with HMB and can be administered in combination with contraceptive methods [ 20 ].
An unusual late presentation of imperforate hymen. October 05, ; Published date: Current studies have also shown that NSAIDs decrease menorrhagia in adolescents compared to placebo mg daily [ 22 ].
Spontaneous obstruction is generally uncommon but has been reported recently [ 15 ].
She admitted to occasional episodes of constipation and urinary retention. Virginity is cherished by many religions, cultures and families [ 8 ].
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Endometriosis of ovary Female infertility Anovulation Poor ovarian reserve Mittelschmerz Oophoritis Ovarian apoplexy Ovarian cyst Corpus luteum cyst Follicular cyst of ovary Theca lutein cyst Ovarian hyperstimulation syndrome Ovarian torsion. In the present case, it was thought that massive uterine bleeding could have caused an obstruction secondary to the clot formation.
From Wikipedia, the free encyclopedia. Obstruction of the female genital outflow tract is rarely seen. Only the central portion of the hymen can be excised as hymenotomy when there hematometar the desire to preserve virginity. Views Read Edit View history. High index of suspicion is required for early diagnosis and treatment before the complications like massive hematometra and hematocolpos occur. Journal of Clinical Ultrasound. She was discharged on the third postoperative day, and was to be seen in the gynecological clinic in six weeks.
Heterogeneous hdmatocolpos the largest being 90 mm in diameter were seen in the uterine cavity. Hematometrocolpos was detected by transabdominal ultrasonography.