362 results match your criteria Imperforate Hymen


Imperforate Hymen Associated with Constipation and Acute Urinary Retention.

Am J Obstet Gynecol 2022 May 9. Epub 2022 May 9.

Department of Obstetrics and Gynecology, Virginia Commonwealth University, Richmond, VA.

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Characteristics of fetal physiological and pathological uterine effusion observed on prenatal ultrasonography: a case report.

BMC Pregnancy Childbirth 2022 May 12;22(1):405. Epub 2022 May 12.

Department of Ultrasound, Shengjing Hospital of China Medical University, No. 36 Sanhao St, Shenyang, 110004, Liaoning, China.

Background: The prenatal detection rate of fetal uterine effusion is very low, and current case reports mainly focus on pathological hydrometrocolpos. We presented two cases of fetal physiological uterine effusion with different ultrasonic characteristics and compared them with one case of hydrometrocolpos with the hope of identifying strategies to reduce misdiagnosis of fetal uterine effusion.

Case Presentation: This paper reports the cases of two female fetuses with abnormal pelvic echoes in the third trimester, referred to a tertiary center to be screened for suspected pelvic teratoma and cystic mass, respectively. Read More

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Primary amenorrhea secondary to imperforate hymen.

Clin Case Rep 2022 Apr 26;10(4):e05786. Epub 2022 Apr 26.

Radiology Department Mohammed Vth Military Hospital Rabat Morocco.

Hymen imperforation is uncommon. Symptoms include primary amenorrhea, cyclical lower abdominal pain, and rarely a pelvic mass syndrome. Delayed discovery may lead to endometriosis and infertility. Read More

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Abdominal pain as the presentation of imperforate hymen in a teenage girl.

Pediatr Int 2022 01;64(1):e15168

Department of Pediatric Surgery, Division of Pediatric Urology and Andrology, Faculty of Medicine, Sechenov First Moscow State Medical University, Moscow, Russia.

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January 2022

Pyocolpos: A rare cause of recurrent abdominal pain - Always insist on a thorough physical examination.

Radiol Case Rep 2022 May 21;17(5):1678-1681. Epub 2022 Mar 21.

Department of Pediatrics and Neonatology, Intercommunal Hospital Group Le Raincy Montfermeil, Montfermeil, France.

Thorough physical examination is a must for proper diagnosis of medical diseases and to elucidate all physical findings. Abdominal pain is a very common presentation to Emergency Department, compromising 5%-10% of all visits, and around a quarter are discharged with no particular diagnosis. Pyocolpos is one of those presentations that requires a thorough physical examination, including that of the external genitalia. Read More

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Abdominal swelling and obstructive uropathy due to hematometrocolpos secondary to imperforate hymen: a case report.

Pan Afr Med J 2022 7;41:18. Epub 2022 Jan 7.

Department of Pediatrics, Ascension Sacred Heart Hospital, University of Florida, Pensacola, Florida, USA.

Imperforate hymen is an uncommon congenital anomaly of the female genital tract and can lead to the collection of blood in the vagina and the uterus. Most patients are not diagnosed until menarche when they present with symptoms such as cyclic abdominal and pelvic pain, constipation, tenesmus, back pain, and difficulties with urination in association with lack of menses. We discuss the case of an adolescent female who presented with the complaint of an increasing abdominal swelling along with the urgency and a sense of incomplete urination. Read More

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The Use of Interdigitating Y-Flap Technique for Imperforate Hymen.

JPRAS Open 2022 Jun 27;32:43-47. Epub 2022 Jan 27.

Division of Urogynecology and Reconstruction Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia - dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.

Imperforate hymen is a rare condition affecting 1 of 2,000 women worldwide. Its treatment is surgical hymenectomy to relieve obstruction and reduce the risk of secondary endometriosis. Current surgical techniques for imperforate hymen pose risks of postoperative complications such as stenosis and ascending infection; thus, a new technique is needed. Read More

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Management of reformation of imperforate hymen following hymenectomy by double cross plasty surgery.

BMJ Case Rep 2022 Feb 28;15(2). Epub 2022 Feb 28.

Department of Obstetrics & Gynaecology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Terengganu, Malaysia

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February 2022

Hydrometrocolpos in Infants: Etiologies and Clinical Presentations.

Children (Basel) 2022 Feb 7;9(2). Epub 2022 Feb 7.

Division of Pediatric Gastroenterology, Department of Pediatrics, Chang Gung Children's Medical Center, Chang Gung Memorial Hospital, Taoyuan City 33305, Taiwan.

Hydrometrocolpos (HMC) is a rare condition where fluids or secretions accumulate in the vagina (hydrocolpos) or up to the uterus (hydrometrocolpos). This case series study reports three infants with different etiologies and presentations of HMC and aims to review literature for proper workup upon initial diagnosis. The first neonate antenatally presented with a huge cystic mass. Read More

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February 2022

Imperforate hymen presenting with acute retention of urine diagnosed on point-of-care ultrasound.

Emerg Med Australas 2022 Apr 8;34(2):295-296. Epub 2022 Feb 8.

Children's Emergency, Khoo Teck Puat - University Children's Medical Institute, National University Hospital, Singapore.

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Pubescent Girl With Urinary Retention.

J Emerg Med 2022 02 12;62(2):260-263. Epub 2022 Jan 12.

Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota.

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February 2022

A rare cause of acute urinary retention in adolescents: A case of imperforate hymen.

Malays Fam Physician 2021 Nov 8;16(3):112-114. Epub 2021 Sep 8.

MBBCh BAO Galway, MMed O&G (USM), Department of Obstetrics & Gynaecology, School of Medical Sciences, Universiti Sains Malaysia Kelantan, Malaysia.

Imperforate hymen is a genital outflow abnormality that can occur in females. It can present with various symptoms and is associated with short- and long-term complications that may affect patients' quality of life. Acute urinary retention in adolescents is a rare occurrence. Read More

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November 2021

Bedside Intervention for Neonatal Hydrometrocolpos and Imperforate Hymen.

Urology 2022 Feb 25;160:191-194. Epub 2021 Nov 25.

Division of Urology, Seattle Children's Hospital, Seattle, WA.

Low complexity cases of neonatal hydrometrocolpos from imperforate hymen are typically treated with hymenotomy or hymenectomy. Although this is commonly performed in the operating room, bedside management is also safe and effective. We present a case of prenatally diagnosed, simple hydrometrocolpos treated via bedside hymenotomy on the first day of life. Read More

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February 2022

Hematocolpos: An Unusual Cause of Right Iliac Fossa Pain.

Cureus 2021 Oct 17;13(10):e18835. Epub 2021 Oct 17.

College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.

Acute appendicitis is the most frequent indication for emergency abdominal surgery in childhood. Despite being a common condition, the diagnosis of acute appendicitis can be challenging. Ultrasound examination remains the imaging tool of choice for the diagnosis of acute appendicitis. Read More

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October 2021

Delayed diagnosis of imperforate hymen with huge hematocolpometra: A case report.

World J Clin Cases 2021 Oct;9(29):8901-8905

Department of Obstetrics and Gynecology, Konkuk University School of Medicine, Seoul 05030, South Korea.

Background: Imperforate hymen is a rare obstructive anomaly of the female reproductive tract. It is associated with complications, such as cyclical abdominal pain, urinary retention, and pelvic mass.

Case Summary: A 13-year-old girl presented several times to the emergency room with lower abdominal pain for a year. Read More

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October 2021

Acute Urinary Retention due to Haematometrocolpos from Imperforate Hymen in a Pubescent Nigerian Girl.

West Afr J Med 2021 09;38(9):900-902

Department of Obstetrics and Gynaecology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria.

Background: Cryptomenorrhoea is an uncommon gynaecological condition in the adolescent age group. While cyclical abdominal pain is the usual clinical symptom, patients with atypical presentation require a high index of suspicion and meticulous evaluation.

Objective: This case report describes atypical presentation of haematometrocolpos in a pubescent Nigerian female. Read More

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September 2021

[Vulvar mass in neonatal period : spot the difference].

Rev Med Liege 2021 07;76(7-8):588-591

Service de Néonatologie, CHU Liège et CHR Citadelle, Liège, Belgique.

We report the cases of two female newborns who present, at the first day, a interlabial mass. In both cases, the antenatal scans were normal, and the clinical examination in the delivery room didn't reveal any other abnormality. Similar features may suggest the same diagnosis. Read More

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Imperforate hymen due to vaginal hypoplasia presenting as an acute abdomen in adolescence.

Clin Case Rep 2021 Jul 19;9(7):e04450. Epub 2021 Jul 19.

Department of Pediatrics, Faculty of Medicine Saga University Saga Japan.

Imperforate hymen due to vaginal hypoplasia is a rare condition but should be considered as a differential diagnosis in patients complaining of abdominal pain. Read More

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Hematometrocolpos following Low Transverse Cesarean Delivery Complicated by Uterine Dehiscence.

Case Rep Obstet Gynecol 2021 29;2021:5591893. Epub 2021 Jun 29.

Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, California, USA.

Background: Hematometrocolpos is a rare complication following procedures performed on the female genital tract. While usually seen in adolescents with congenital anomalies including imperforate hymen and vaginal stenosis, it has also been described following obstetric vaginal lacerations. The incidence following cesarean delivery is unknown. Read More

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Long-Term Results of an Imperforate Hymen Procedure that Leaves the Hymen Intact.

J Obstet Gynaecol India 2021 Apr 3;71(2):168-172. Epub 2021 Jan 3.

Department of Gynecology and Obstetrics, Meram School of Medicine, University of Necmettin Erbakan, Konya, Turkey.

Purpose Of The Study: The aim of this study was to show the clinical results of postoperative evaluation of cases of imperforate hymen that presented at our center during a 21-year period.

Methods: A Foley's catheter was inserted in 74 patients of imperforate hymen who reported to the Department of Obstetrics and Gynecology, Meram Faculty of Medicine, Necmettin Erbakan University, between January 1, 1996, and December 31, 2016 with history of pelvic pain. In each case, the hymen was opened via a circular incision from the central of the distended. Read More

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Fetal ultrasound diagnosis allows effective early postnatal treatment of hematometrocolpos.

Clin Case Rep 2021 May 24;9(5):e04088. Epub 2021 May 24.

Birmingham Women's and Children's Hospital Birmingham UK.

Fetal hematometrocolpos is a rare finding with an incidence of 1 in 16 000 female births. We present a case of fetal hematometrocolpos managed exclusively by prenatal and postnatal ultrasound scans allowing for effective immediate postnatal surgical treatment. Read More

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Recurrent formation of haematocolpos in a young girl with multiple congenital anomalies of the urogenital tract.

J Pak Med Assoc 2021 Mar;71(3):1017-1019

Department of Obstetrics and Gynaecology, Ziauddin Hospital, Clifton, Karachi, Pakistan.

An 11-year-old girl, a known case of left crossed fused renal ectopia and sacral hypoplasia presented to the gynaecological OPD in Karachi, Pakistan, in February 2019 with complaints of abdominal pain. On examination, she was found to have a septum covering her vaginal orifice. She was subsequently diagnosed with haematocolpos secondary to imperforate hymen. Read More

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Mimics of malignancy caused by concurrent imperforate hymen and transverse vaginal septum: an instructive case and review of the literature.

J Int Med Res 2021 May;49(5):3000605211014797

Department of Paediatrics, Tri-Service General Hospital, National Defense Medical Centre, Taipei.

The coexistence of imperforate hymen and vaginal septum is rare and their ability to mimic malignant manifestations have not been frequently reported. This current case report describes a 13-year-old girl that presented with cyclic abdominal pain for 6 months. She was found to have a huge mass via abdominal plain film X-ray and sonography, with inexplicably high levels of serum carcinoembryonic antigen, cancer antigen (CA)-19-9 and CA-125. Read More

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Imperforate Hymen: A Rare Cause of Abdominopelvic Mass in an Infant.

J Nepal Health Res Counc 2021 Apr 23;19(1):201-202. Epub 2021 Apr 23.

Department of Obstetrics and Gynecology, BPKIHS, Dharan Nepal.

Symptomatic imperforate hymen is very rare in infants. Here we report a neonate who presented with imperforate hymen with abdominal distension, fever and loose stool. Imaging study showed large thick walled cystic lesion extending from pelvis to abdomen upto epigastric region with bilateral mild hydroureteronephrosis and lower part in between urinary bladder and rectum suggesting hydrometrocolpos. Read More

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Congenital anomalies causing hemato/hydrocolpos: imaging findings, treatments, and outcomes.

Jpn J Radiol 2021 Aug 11;39(8):733-740. Epub 2021 Apr 11.

Department of Maternal and Child Health Research Center, Hiroshima Prefectural Hospital, Hiroshima, Japan.

Hemato/hydrocolpos due to congenital urogenital anomalies are rare conditions discovered in neonatal, infant, and adolescent girls. Diagnosis is often missed or delayed owing to its rare incidence and nonspecific symptoms. If early correct diagnosis and treatment cannot be performed, late complications such as tubal adhesion, pelvic endometriosis, and infertility may develop. Read More

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A Novel Technique for the Reconstructive Formation of an Annular Hymen in Cases of Postpubertal Imperforate Hymen.

Authors:
Atef M Darwish

Sultan Qaboos Univ Med J 2021 Feb 15;21(1):e110-e115. Epub 2021 Mar 15.

Department of Obstetrics & Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt.

Objectives: Imperforate hymen (IH) is a common genital tract anomaly in women which usually presents after puberty. However, surgical treatment is often considered controversial in religious or conservative communities for sociocultural reasons. This study therefore aimed to assess the efficacy of a novel reconstructive technique involving the preservation of the annular hymen. Read More

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February 2021

Imperforate hymen mimicking acute appendicitis in an adolescent woman: a rare presentation.

BMJ Case Rep 2021 Mar 9;14(3). Epub 2021 Mar 9.

Department of General Surgery, Imperial College NHS London, London, UK.

Imperforate hymen is a rare congenital malformation of the female genital tract. The condition poses several diagnostic challenges owing to its low incidence and often atypical presentation. Classical symptoms include amenorrhoea and cyclical abdominal pain. Read More

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The importance of a thorough clinical examination in adolescent girls presenting with acute urinary retention.

BMJ Case Rep 2021 Feb 9;14(2). Epub 2021 Feb 9.

Paediatric Department, William Harvey Hospital, Ashford, UK.

We present an adolescent girl with a 1-day history of acute urinary retention and lower abdominal pain. She was admitted to the paediatric ward for ongoing treatment and investigations. Due to a myriad of factors including pain and anxiety, challenges posed included an incomplete initial abdominal and external genital examination. Read More

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February 2021

[Diagnosis and management of Imperforated Hymen in an infant].

Rev Chil Pediatr 2020 Aug 25;91(4):579-583. Epub 2020 May 25.

Hospital Dr. Luis Calvo Mackenna, Santiago, Chile.

Introduction: Imperforated hymen is the most frequent congenital malformation of the female genital tract. Most cases are not investigated in childhood, due to an insufficient genital examination. Its diagnosis and resolution must be early and definitive to avoid subsequent complications. Read More

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