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ISSN 1684-1824 (Electronic)

2021, Number 4

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Rev Méd Electrón 2021; 43 (4)

Imperforate hymen with hematocolpos. Apropos of a case

Santana SJA, Rodríguez SL

Language: Spanish
References: 13
Page: 1-6
PDF size: 1134.86 Kb.


ABSTRACT

The defects in the channeling of the himeneal membrane cause obstruction in the female genital tract. As consequence hematocolpos appears, resulting from the accumulation and retention of cervicovaginal secretions -blood in the uterus and vagina-, due to the impossibility of its evacuation because of the presence of an imperforate hymen. Clinically, abdominal mass appears associated to congenital vaginal malformations. We presented the case of teenager aged 13 years that referred urine retention, dysuria, pain, had a mass in the hypogastrium, and absence of menarche in spite of a Tanner III pubertal development. An ultrasound showed blood in the uterus due to hymeneal imperforation solved through hymenotomy. The pathology of imperforate hymen with hematocolpos should be among the possible syndrome considerations in those patients with the same characteristics; it can be diagnosed in the primary health care from anamnesis and physical exploration, although the verification requires an ultrasound.


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