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2021, Number 2

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Medicentro 2021; 25 (2)

Hematocolpos secondary to imperforate hymen

Font AM, Monteagudo BM, Rodríguez FL
Full text How to cite this article

Language: Spanish
References: 10
Page: 331-338
PDF size: 432.96 Kb.


Key words:

hymen/abnormalities, hematocolpos.

ABSTRACT

Hematocolpos is the accumulation of menstrual blood in the vagina; it is produced by imperforation of the hymen or the lower part of the vagina. Imperforate hymen is a rare congenital malformation that occurs in 0.1% of female newborns; this is an embryological developmental disorder of the hymen that lacks the central orifice through which uterine and cervical secretions drain. We present a 15-year-old patient with a history of having been born from eutocic delivery at term, pain in lower abdomen and in lower back towards the right side. Abdominal pain is the most common clinical presentation of this condition. Its diagnosis is clinical and is supported by complementary tests (abdominal and gynecological ultrasound). This condition is resolved by means of a hymenectomy.


REFERENCES

  1. Cunningham FG, Leveno KJ, Bloom SL. Congenital Genitourinary Abnormalities. En: Williams Obstetrics. 24th ed. México: McGraw-Hill Interamericana; 2014. p. 36-45.

  2. Hernández Dinza PA, Arias Garlobo M, Leyn Salmon S. Hematocolpos por himen imperforado en una adolescente. MEDISAN [internet]. sep.-oct. 2018 [citado 21 nov. 2019];22(8):[aprox. 7 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192018000800789&lng=es&nrm=iso

  3. Abraham C. Imperforate hymen causing hematocolpos and urinary retention. J Emerg Med [internet]. 2019 Aug. [citado 21 nov. 2019];57(2):[aprox. 3 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/31023636

  4. Tejerizo García A, Teijelo A, Sánchez-Sánchez MM, García-Robles RM, Benavente JM, Pérez-Escanilla JA, et al. Hematocolpos-hematómetra por imperforación himeneal. Clín Investig Ginecol Obstetr [internet]. dic. 2000 [citado 21 nov. 2019];27(10):[aprox. 8 p.]. Disponible en: https://www.elsevier.es/es-revista-clinica-e-investigacion-ginecologia-obstetricia-7-articulo-hematocolpos-hematometra-por-imperforacion-himeneal-13095

  5. Obinchemti Egbe T, Mbi Kobenge F, Manka'a Wankie E. Virginity-sparing management of hematocolpos with imperforate hymen: case report and literature review. SAGE Open Med Case Rep [internet]. 2019 May 2 [citado 21 nov. 2019];7:[aprox. 7 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6501474/

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  8. Landaeta JE, Lara EJ, López JL, Vargas AM, Castroni A. Síndrome de Herlyn-Wernr-Wünderlich (OHVIRA) en adolescentes: Tres casos clínicos. Rev Salus UC [internet]. sep.-dic. 2018 [citado 21 nov. 2019];22(3):[aprox. 5 p.]. Disponible en: http://servicio.bc.uc.edu.ve/fcs/vol22n3/vol22n3.pdf

  9. Elmôr Coutinho Miguel CR, Coutinho Elmôr Miguel CR, Bigonha Ruffato JR. Hematocolpo em imperfuração himenial e suas consequências: relato de caso. Rev Saúde [internet]. 2018 [citado 21 nov. 2019];9(2):[aprox. 4 p.]. Disponible en: http://editora.universidadedevassouras.edu.br/index.php/RS/article/view/1367

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C?MO CITAR (Vancouver)

Medicentro. 2021;25