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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This women’s health related article is a stub. Infobox medical condition new All stub articles. We report a case of a year-old girl who presented with delayed menarche, eight-month history of cyclic abdominal pain, and a three-week history of lower abdominal swelling. The urinary bladder was compressed by the fluid. Hemaotcolpos article has been cited by other articles in PMC.

Hemafocolpos develops when the uterus becomes distended with blood secondary to obstruction or atresia of the lower reproductive tract—the uterus, cervix or vagina —which would otherwise provide an outflow for menstrual blood. She had no known bleeding disorders.


She had been bleeding heavily for 5 days causing a drop in hemoglobin level down to 5. Evaluation and treatment of menorrhagia in an adolescent population. Management of abnormal uterine bleeding in adolescents. They gave consent to the surgery that may preserve virginity.

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This can be caused by a congenital stenosis of the cervixor by a complication of a surgical treatment. Her postoperative recovery was uneventful. Persistent genital arousal disorder. Obstet Gynecol Clin North Am. Both ovaries were observedly normal. These acquired problems are caused by iatrogenic interventional traumas to the uterine cervix such as cone biopsies, loop electrosurgical procedures, dilation and curettage, obstetric lacerations, cervical or endometrial carcinoma, and radiation therapy [ 91011121314 ].


Our patient also had occasional constipation and retention of urine. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Asherman’s syndrome Dysfunctional uterine bleeding Endometrial hyperplasia Endometrial polyp Endometriosis Endometritis. Her abdomen was soft, with moderate tenderness of the lower abdomen without rebound.

Am J Obstet Gynecol. Overview of bleeding disorders in adolescent females with menorrhagia. It can also develop after female genital mutilation.

Female diseases of the pelvis and genitals N70—N99— It is most commonly caused by an imperforate hymen or a transverse vaginal septum. Minimal trimming of the edges of the hymen was done to prevent defloration. Clinical Practice and Cases in Emergency Medicine.

Hematometra – Wikipedia

Home Publications Conferences Hematocolposs Contact. She had virginity-preserving hymenotomy and evacuation of about hematpmetra of accumulated coffee-colored menstrual blood. Early diagnosis and hematometrq surgical treatment of an imperforate hymen are important to prevent the complications associated with the delayed treatment after puberty. Miss UG is a year-old girl who was referred to the gynecologic clinic of Enugu State University Teaching Hospital on account of eightmonth history of cyclic abdominal pain, delayed menarche, and a threeweek history of lower abdominal swelling.

About one fifth of females presenting with heavy menstrual periods may have an underlying blood dyscrasia [ 2151617 ]. Treatment of hematotrachelos after dilatation and curettage. Adnexa Ovary 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.


Her gynecological history included menarche at 14 years of age.

After one day, a chocolate-like fluid started to spill out from the vagina. The hymenal opening was mm in diameter. Pelvic examination revealed an intact annular hymen. Female infertility Fallopian tube obstruction Hematosalpinx Hydrosalpinx Salpingitis. Published online Aug 3. Case Report Open Access.

There can be four possible causes of Hematocolpos [12]. Neonatal and pediatric ultrasonography. Hematometra or hemometra is a medical condition involving collection or retention of blood in the uterus.

October 05, ; Published date: She started tablets paracematol mg thrice daily for 4 days when she became fully conscious from hemwtocolpos general anesthesia.

A related disorder is hematometrawhere the uterus fills with menstrual blood. Journal of Clinical Ultrasound. Hematometrocolpos is accumulation of blood in the vagina and uterine cavity due to intra-uterine hemorrhage.

From Wikipedia, the free encyclopedia. Cochrane Database Syst Rev. Clinicians should have high index of suspicision of imperforate hymen for them to make early diagnosis of these bizarre and challenging modes of presentations of the complications of untreated imperforate hymen.

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