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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It is most commonly caused by an imperforate hymen or a transverse vaginal septum.

No conflict of interest was declared by the authors. From Wikipedia, the free encyclopedia. B Transabdominal sonographic view showing the markedly distended vagina measuring A doctor prescribed anthelmintic and analgesic drugs to her a month ago before she was verbally referred to ESUT Teaching Hospital, Enugu. HMB may be associated with a variety of endocrine disorders such as thyroid disease, adrenal problems and other medical problems such as hepatitis, chronic renal disease or diabetes mellitus.

Asherman’s syndrome Dysfunctional uterine bleeding Endometrial hyperplasia Endometrial polyp Endometriosis Endometritis. Her gynecological history included hematooclpos at 14 years of age.

Hematometra – Wikipedia

Our patient and her mother were counseled about this issue of defloration during surgery. Evaluation and hemahocolpos of menorrhagia in an adolescent population. J Minim Invasive Gynecol. This article has been cited by other articles in PMC. Journal of the American Medical Association. Some authorities believe that hymenotomy is simple and can be done even in newborns [ 4 ]. Received May 26; Accepted Aug We report hematcolpos case of a year-old girl who presented with delayed menarche, eight-month history of cyclic abdominal pain, and a three-week history of yematometra abdominal swelling.


Clinicians should have high index of suspicion of imperforate hymen when assessing cases of delayed menarche with cyclic lower abdominal pain to prevent the consequences of its delayed treatment like massive hematometra and hematocolpos.

The diagnosis of imperforate hymen in miss Hemaocolpos was delayed till after menarche when over mls of menstrual blood had accumulated as hematometra and hematocolpos. International Journal of Emergency Medicine. Support Center Support Center. Look up hematocolpos in Wiktionary, the free dictionary. Evacuation of hematocolpos and heamatometra. Hematometra and extended vaginal haematoma after laser conization.

Her secondary sexual characteristics were normal for the age Tanner stage III. 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 ]. The case is presented hematomeetra because of the successful management of hematometrocolpos due to massive dysfunctional uterine bleeding in a young virgin patient.

The full blood count, serum urea, electrolyte and creatinine were also normal. The urinary bladder was compressed by the fluid. Ultrasonographic diagnosis hematocokpos assisted surgical management of hematotrachelos and hematometra due to uterine cervical atresia with associated vaginal agenesis.

This page was last edited on 22 Septemberat Overview of bleeding disorders in adolescent females with menorrhagia. An Algorithmic Approach to Problem Solving. Over mls of coffee-colored menstrual blood was evacuated Figures 2 and 3. Therefore, a careful anamnesis, and physical examination are essential for diagnosis and management. Other consequences or clinical implications that timed hymenotony with hematlcolpos surgical techniques can prevent include recurrence or closure of the opening, scarring of the edges of the hymen and dysparenuia, ascending pelvic infection and infertility, chronic pelvic pain, and ectopic gestation.


In addition, HMB episodes may occur because of disruptions or abnormalities of hemaatometra coagulation cascade [ 1 hematocolpoa. They gave consent to the surgery that may preserve virginity. The underlying etiology of the acquired obstructed cervix in the patient presented here is not as yet fully understood.

Hematocolpos – Wikipedia

Pschera H, Kjaeldgaard A. Perineal examination revealed a bulging pinkish imperforate hymen Figure 1. The development of her secondary sexual characteristics was normal for her age. Gynecol Obstet Sunnyvale 5: They opted for a virginity-preserving hymenotomy.

September 22, ; Accepted date: Most hdmatocolpos who want to conceive after surgery usually achieve pregnancy [ 11 ]. In the present case, sonographic findings demonstrated acquired obstruction of the lower female genital tract, specifically hematometra and hematocolpos. An unusual late presentation of imperforate hymen.

Heterogeneous structures he,atometra largest being 90 mm in diameter were seen in the vaginal cavity. Imperforate hymen is a rare congenital malformation of the vagina.

Imperforate Hymen Presenting with Massive Hematometra and Hematocolpos: A Case Report

J Pediatr Adolesc Gynecol. She had been bleeding heavily for 5 days causing a drop in hemoglobin level down to 5. Select your language of interest to view the total content in your interested language. Netter’s Obstetrics and Gynecology.