A CASE REPORT ON HAEMATOCOLPOS

Archana Suneja, Kiran Borkar

Abstract


Background: Abdominal masses in female adolescents are uncommon. A rare cause of this condition is
hematocolpos due to imperforate hymen. Ideally, diagnosis should be made early during fetal and neonatal
examinations to prevent symptomatic presentations of its complications at puberty.
Case report: We report a case of a 14-year-old girl who presented with delayed menarche, eight months history of cyclic abdominal
pain, and a two days history of retention of urine. The development of her secondary sexual characteristics was normal for her age. A
bulging bluish imperforate hymen was found on examination. Her transabdominal ultrasound revealed about
15x 6.6 cm mass in continuation of uterus in region of vagina with debris within. She had virginity-preserving hymenotomy and evacuation
of about 300 ml of accumulated coffee-colored menstrual blood.
Conclusion: 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, hematocolpos and
urinary retention.


Keywords


massive hematometra abdominal delayed treatment

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References


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-hematometra- andhematocolpos-a-case-report

-2161-0932-

php?aid=62332


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