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 can also develop after female genital mutilation. Transabdominal and transrectal ultrasounds can also assist in confirming the diagnosis of imperforate hymen [ 7 ].
The diagnosis of imperforate hymen in miss UG was delayed till after menarche when over mls of menstrual blood had accumulated as hematometra and hematocolpos.
The timing of surgery is controversial. hematicolpos
Hematometra – Wikipedia
Comprehensive Gynecology 6th ed. Cervical dysplasia Cervical incompetence Cervical polyp Cervicitis Female infertility Cervical stenosis Nabothian cyst. The diagnosis is usually delayed till after puberty when it presents with its complications like delayed menarche, cyclic lower abdominal pain and mass, and bulging vaginal membrane as hematocolpoe miss UG [ 2 ]. The authors declared that this study has received no financial support.
Author information Article notes Copyright and License information Disclaimer. Acquired obstruction of the lower female genital tract is rare.
Planning is hrmatometra important in the treatment of both acute bleed and its maintenance therapy. Gynaecologic disorders Women’s health stubs. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which hematometa unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hematometrocolpos is accumulation of blood in the vagina and uterine cavity due to intra-uterine hemorrhage.
Antenatal ultrasound can also detect the bulging imperforate hymen due to the accumulation of hydrocolpos or mucocolpos in the female fetus that occurred in response to maternal oestrogens. This page was last edited on 22 Septemberat Uterine bleedings due to obstruction of the lower female genital tract cause proximal dilatation and the occurrence of hematocolpos, hematotrachelos or hematometra are the most common problems defined as congenital abnormalities [ 456 ].
Views Read Edit View history. Vaginal bleeding Postcoital bleeding.
Obstruction of the female genital outflow tract is rarely seen. After resolution of the hematometrocolpos was shown by hematomegra ultrasound 2 days later, the patient, who was stable, was discharged without complication. Infobox medical condition new All stub articles. The differential diagnoses of imperforate hymen include vaginal septum, vaginal agenesis, vaginal cyst, ectopic ureter with ureterocele, hymenal cyst and periurethral cyst.
Female infertility Recurrent miscarriage.
Hematocolpos – Wikipedia
American Journal of Medical Genetics. A doctor prescribed anthelmintic and analgesic drugs to her a month ago before she was verbally referred to ESUT Teaching Hospital, Enugu. Clinical Practice and Cases in Emergency Medicine.
International Journal of Emergency Medicine. However, presenting symptoms of hematometra and hematocolpos without any evidence of primary and secondary amenorrhea were considered to be related to massive uterine bleeding following the use of progestin fifteen days previously. Dyspareunia Hypoactive sexual desire disorder Sexual arousal disorder Vaginismus. In other projects Wikimedia Commons. An unusual late presentation of imperforate hymen.
No conflict of interest was declared hematocolpoa the authors. Bhatia Medical Coaching Institute Pvt. Adolescents often present at gynaecologists with HMB, although HMB following the usage of contraceptive pills which may cause hematometrocolpos is rare. Transabdominal ultrasound hematkmetra a grossly dilated uterine cavity, and vagina that were containing Although hematometra can often be diagnosed based purely on the patient’s history of amenorrhea and cyclic abdominal pain, as well as a palpable pelvic mass on examination, the diagnosis can be confirmed by ultrasoundwhich will show blood pooled in the uterus and an enlargement of the uterine cavity.
Agri and Aquaculture Journals Dr. This page was last edited on 27 Octoberat It occurs when the sinovaginal bulb fails to canalize with the rest of the vagina. D ICD – Conclusion Adolescents often present at gynaecologists with HMB, although HMB following the usage of contraceptive pills which may cause hematometrocolpos is rare. She had been bleeding heavily for 5 days causing a drop in hemoglobin level down to 5.
Her hemato,etra lasting for 6 to 7 days were normal and regular occurring at day intervals.