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Federación Mexicana de Ginecología y Obstetricia, A.C.

2020, Number 08

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Ginecol Obstet Mex 2020; 88 (08)

Imperforate hymen and hematocolpos as a cause of urinary retention and abdominal pain: A clinical case report

Casarrubias-Rodríguez JJ, Rivas-Larrauri E, Martínez-Hernández MP

Language: Spanish
References: 10
Page: 549-553
PDF size: 240.92 Kb.


ABSTRACT

Background: Imperforate hymen is an uncommon congenital malformation of the genital tract, its incidence is 0.1%. Physiologically the development of the hymen occurs for the proliferation of the sinovaginal bulbs, they usually will perforate before or after born. The majority of cases will show clinical manifestations when patient reach puberty, the most common are pelvic pain, amenorrhea and urinary retention.
Clinical case: This is a 12-year-old adolescent patient who went to the emergency department for severe abdominal pain and urinary retention. Initially, the patient was diagnosed with a giant ovarian cyst and a laparotomy was performed without finding ovarian pathology. However, through imaging studies and a more detailed physical examination, the diagnosis of hematocolpos and imperforate hymen was reached. The patient was subsequently subjected to hymenoplasty, which resolved the condition.
Conclusions: The presence of imperforate hymen can cause urinary retention and abdominal pain. It should be suspected in adolescent patients.


REFERENCES

  1. González J, et al. Caso clínico himen imperforado. Revisión casuística a partir de una paciente con dolor lumbar persistente. Bol Pediatr 2015; 55: 32-35. http://sccalp.org/uploads/bulletin_ article/pdf_version/1394/BolPediatr2015_55_32_35.pdf

  2. González RL, et al. Dolor abdominal como síntoma de himen imperforado. Rev Chil Obstet y Ginecol 2015; 80(3):261-4. https://scielo.conicyt.cl/scielo.php?script=sci_ abstract&pid=S0717-75262015000300011&lng=es&nrm=iso

  3. Palacios-Acosta JM, et al. Hematocolpos por himen imperforado: errores en su diagnóstico y abordaje. Acta Pediatr Mex 2011;32(6):323-31.

  4. Contreras Rendón A, et al. Himen imperforado, causa de dolor abdominal agudo y hematocolpos en adolescente: reporte de caso clínico. An Med (Mex) 2012; 57 (4): 345- 348. https://www.medigraphic.com/pdfs/abc/bc-2012/ bc124l.pdf

  5. Jarabo García MT, et al. Hematocolpos secundario a himen imperforado: causa infrecuente de masa abdominal. Rev Pediatr Aten Primaria 2013; 15(60):e165-e168. https://pap. es/articulo/11910/hematocolpos-secundario-a-himenimperforado- causa-infrecuente-de-masa-abdominal

  6. Lee KH, et al. Imperforate Hymen: A Comprehensive Systematic Review. J Clin Med 2019; 8(1):56. DOI: 10.3390/ jcm8010056

  7. Jeréz-Corrales AC, et al. Himen imperforado. A propósito de un caso. Rev Estudiantil 16 de Abril;56(264):73-77. https://www.medigraphic.com/pdfs/abril/abr-2017/ abr17264f.pdf

  8. Unda-Haro S, et al. Himen imperforado con Hidrocolpos. An Med (Mex) 2016; 61 (1): 44-47. https://www.medigraphic. com/pdfs/abc/bc-2016/bc161h.pdf

  9. Al-Hunaidi O, et al. Acute Urine Retention Caused by Hematocolpos after Failed Hymenotomy in 23 Year Old Female. Urol Case Rep. 2015 Mar; 3(2): 50-51. https://www.ncbi. nlm.nih.gov/pmc/articles/PMC4714263/

  10. Rathod S, et al. Imperforate hymen and its complications: report of two cases and review of literature. Int J Reprod Contracept Obstet Gynecol; 3(3):839-84.




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