339 results match your criteria Imperforate Hymen


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 Apr 11. 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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A case report of hydronephrosis caused by imperforate hymen in an infant.

Medicine (Baltimore) 2020 Nov;99(45):e23072

Department of Ultrasound, The Maternal and Child Health Care Hospital of Hunan Province.

Rationale: Hydronephrosis, mostly caused by ureteropelvic junction obstruction, rarely occurs in infants. However, imperforate hymen atresia in female infants may cause hydronephrosis, even though it is rare.

Patient Concerns: A 3-month-old female infant was admitted to our hospital for frequent crying. Read More

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November 2020

Diagnosis and surgical treatment of bilateral ureteral calculi, hydronephrosis, pyometra, pyocolpos, vestibulovaginal stenosis, and imperforate hymen in a dog: A rare critical case report.

J Adv Vet Anim Res 2020 Sep 29;7(3):384-390. Epub 2020 Jun 29.

Department of Veterinary Surgery, Royal Animal Medical Center, Jungnang-gu, Seoul, Republic of Korea.

Objective: Bilateral ureteral calculi, hydronephrosis, pyometra, pyocolpos, vestibulovaginal stenosis, and imperforate hymen in a dog are uncommon and can be difficult to diagnose. The aim of this article is to report diagnostic challenges and successful surgical treatment of this rare event and the long-term outcomes.

Materials And Methods: A 5-year-old, spayed (partial ovariohysterectomy) female dog was primarily diagnosed with bilateral hydronephrosis and ureter obstruction due to urolithiasis along with pyometra. Read More

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September 2020

Late diagnosis of imperforate hymen with hematometrocolpos and bilateral hydronephrosis of a horseshoe kidney.

Radiol Case Rep 2020 Nov 8;15(11):2217-2220. Epub 2020 Sep 8.

Radiology Department, Fann University Hospital Center, BP 5035 Fann, Dakar, Senegal.

Imperforate hymen is a fairly uncommon genital disorder where the hymen completely obstructs the vaginal opening. Several authors have ruled out its co-occurrence with other congenital anomalies. In this report, we discuss the exceptional case of a late diagnosis of imperforate hymen associated with bilateral hydronephrosis of a horseshoe kidney in a 19-year-old female patient. Read More

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November 2020

[Urinary Retention Due to Hematocolpos].

Acta Med Port 2020 Sep 18. Epub 2020 Sep 18.

Serviço de Ginecologia e Obstetrícia. Hospital Sousa Martins. Unidade Local de Saúde da Guarda. Guarda. Portugal.

Hematocolpos is an obstruction of the menstrual flow due to an anomaly of the genital tract, with imperforate hymen being the most common one. It is an uncommon condition, with a prevalence of 1:1000 - 1:16 000. It is usually an asymptomatic condition until the onset of menarche, when there is accumulation of blood in the vagina (hematocolpos) or in the uterus (hematometra). Read More

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September 2020

Missed diagnosis of imperforate hymen later presenting with hypertension.

BMJ Case Rep 2020 Sep 9;13(9). Epub 2020 Sep 9.

KK Women's and Children's Hospital, Singapore.

An adolescent girl presented with hypertension and was found to have haematocolpos and imperforate hymen. She had a background of chronic abdominal pain and had sought medical attention multiple times prior, with the diagnosis being missed as pubertal evaluation and perineal examination had been neglected during those visits. Hypertension resolved following hymenectomy and drainage of haematocolpos with no long-term sequelae. Read More

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September 2020

Hidden spaces: treatment of an occult uterovaginal septum.

Fertil Steril 2020 12 6;114(6):1350-1351. Epub 2020 Sep 6.

Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota.

Objective: To describe the unique presentation and surgical management of a complete uterovaginal septum.

Design: Video case report.

Setting: Tertiary care academic medical center. Read More

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December 2020

Symptomatic Imperforate Hymen in Early Infancy: A Case Report.

JNMA J Nepal Med Assoc 2020 Jun 30;58(226):433-435. Epub 2020 Jun 30.

Department of Radiology, Norvic International Hospital, Thapathali, Kathmandu, Nepal.

Imperforate hymen, though a congenital anomaly, usually presents late in puberty as lower abdominal pain, primary amenorrhea, and cyclical pain. Blood collects in vagina and uterus, proximal to imperforate hymen leading to their distention. Its presentation at infancy is a rare entity. Read More

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A Rare Pelvic "Mass-Querader": Acute Urinary Retention Secondary to Hematocolpos in a Preadolescent Patient.

Mil Med 2020 12;185(11-12):2171-2172

Department of Family Medicine, Mike O'Callaghan Military Medical Center, Nellis Air Force Base, 4700 N Las Vegas Blvd, Las Vegas, NV 89191.

We report a case of acute urinary retention in an adolescent female secondary to hematocolpos. A 13-year-old female presented to the emergency department with acute urinary retention and suprapubic abdominal pain for 24 hours. She denied menstruation or sexual history. Read More

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December 2020

Congenital uterovaginal abnormalities, it's embryogenesis, surgical management and clinical implications.

Obstet Gynecol Sci 2020 Sep 30;63(5):655-659. Epub 2020 Jul 30.

Department of Obstetrics and Gynaecology, Princess Marine Hospital, Gaborone, Botswana.

Objective: Congenital Mullerian duct malformations are a challenging group of conditions for surgeons and need surgical experience and skill. Accordingly, the aim of this study is to present the diagnosis, surgical management, and clinical implications of congenital uterovaginal abnormalities.

Methods: Between 1980 and 2015, 8 patients with congenital uterovaginal abnormalities were diagnosed. Read More

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September 2020

Haematocolpos due to imperforate hymen disguised as constipation.

J Paediatr Child Health 2021 May 27;57(5):715-717. Epub 2020 Jun 27.

Pediatric department, André Grégoire Hospital, Montreuil, France.

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Primary amenorrhea in females attending gynaecological outpatient of a tertiary care hospital at Peshawar.

J Pak Med Assoc 2020 May;70(5):888-891

Department of Pharmacy, Sarhad University of Science and Information Technology, Peshawar, Pakistan.

Objective: To determine the aetiological factors of amenorrhea.

Methods: The pilot cross-sectional study was conducted in Government Naserullah Khan Babar Memorial Hospital, Peshawar, Pakistan, from January 2015 to December 2017, and comprised amenorrhea cases. Cases were analysed according to their clinical profile, ultrasound findings and biochemical tests. Read More

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Single-port laparoscopic appendectomy for acute appendicitis during pregnancy.

J Minim Access Surg 2021 Jan-Mar;17(1):37-42

Department of Surgery, School of Medicine, Dongsan Medical Center, Keimyung University, Daegu, Korea.

Aim Of Study: Acute appendicitis is the most common non-obstetric surgical problem in pregnant patients. As minimally invasive surgery has developed, minimising surgical trauma and improving cosmetic outcomes have led to the development of single-port laparoscopic surgery (SPLS). The aim of this study was to assess the feasibility and safety of SPLS for acute appendicitis during pregnancy. Read More

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January 2020

Imperforate hymen and leaking hematosalpinx mimicking acute appendicitis: A report of a rare case and a review of literature.

Int J Surg Case Rep 2019 18;63:69-74. Epub 2019 Sep 18.

Department of Surgery, Penn State Hershey College of Medicine and Milton S. Hershey Medical Center, Hershey, PA, USA.

Introduction: Cases of imperforate hymen with leaking hematosalpinx into the peritoneum are rare. We present a case of imperforate hymen mimicking acute appendicitis creating diagnostic challenges with a near miss diagnosis.

Case: A 12-year-old premenarchal female presented with severe pain that migrated from the epigastrium to the right lower quadrant. Read More

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September 2019

A Rare Case of Massive Hematometra with a Tubo-ovarian Abscess in a 16-year-old Female.

Cureus 2019 Jun 6;11(6):e4845. Epub 2019 Jun 6.

Obstetrics and Gynecology, Democritus University of Thrace, Alexandroupolis, GRC.

Imperforate hymen is a congenital defect of the lower genital tract and specifically the vagina. The examination of a neonatal can be quite helpful to avoid a multitude of complications in puberty like hematocolpos and tubo-ovarian abscess. We present the case of a 16-year-old who presented to the emergency department with fever (37. Read More

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Vaginal reconstruction for distal vaginal atresia without anorectal malformation: is the approach different?

Pediatr Surg Int 2019 Sep 29;35(9):963-966. Epub 2019 Jun 29.

Department of Pediatric Surgery, Children's Hospital Colorado, International Center for Colorectal and Urogenital Care, University of Colorado, 13123 East 16th Avenue Box 323, Anschutz Medical Campus, Aurora, CO, 80045, USA.

Introduction: Distal vaginal atresia is a rare condition and treatment approaches are varied, usually driven by symptoms.

Methods: A retrospective review was performed to identify patients with distal vaginal atresia without anorectal malformation. Data collected included age and symptoms at presentation, type and number of operations, and associated anomalies. Read More

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September 2019

Imperforate hymen: Retrospective review from a single tertiary centre of presenting symptoms and diagnostic process.

J Paediatr Child Health 2020 Jan 29;56(1):90-93. Epub 2019 May 29.

Department of Gynaecology, Royal Children's Hospital, Melbourne, Victoria, Australia.

Aim: To review presentations, diagnostic processes and time to diagnosis of presentations of imperforate hymen at one tertiary paediatric hospital over a 10-year period. The aim was to improve knowledge, enable targeted education and reduce unnecessary tests and diagnostic delay for this congenital obstructive disorder of the female reproductive tract.

Methods: A pragmatic, retrospective, observational study was conducted of all female patients, aged younger than or equal to 18 years of age, presenting to the Royal Children's Hospital, Melbourne, over an 18-year period. Read More

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January 2020

Diagnosis and Management of Hymenal Variants: ACOG Committee Opinion, Number 780.

Authors:

Obstet Gynecol 2019 06;133(6):e372-e376

At puberty, a patient with an imperforate hymen typically presents with a vaginal bulge of thin hymenal tissue with a dark or bluish hue caused by the hematocolpos behind it. Other findings that may be present include an abdominal mass, urinary retention, dysuria, constipation, and dyschezia. On evaluation, the goal is to differentiate an imperforate hymen from other obstructing anatomic etiologies, such as labial adhesions, urogenital sinus, transverse vaginal septum, or distal vaginal atresia. Read More

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Management of Acute Obstructive Uterovaginal Anomalies: ACOG Committee Opinion, Number 779.

Authors:

Obstet Gynecol 2019 06;133(6):e363-e371

Obstructive uterovaginal anomalies may present after puberty with amenorrhea, dysmenorrhea, pelvic pain, recurrent vaginal discharge, or infertility. The evaluation of a patient with a suspected obstructive reproductive anomaly should include a detailed medical history, physical examination, and imaging. The genital examination is critical to differentiate a patient with an imperforate hymen from a patient with labial adhesions, urogenital sinus, transverse vaginal septum, or distal vaginal atresia. Read More

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Diagnosis and Management of Hymenal Variants: ACOG Committee Opinion Summary, Number 780.

Authors:

Obstet Gynecol 2019 06;133(6):1292-1293

At puberty, a patient with an imperforate hymen typically presents with a vaginal bulge of thin hymenal tissue with a dark or bluish hue caused by the hematocolpos behind it. Other findings that may be present include an abdominal mass, urinary retention, dysuria, constipation, and dyschezia. On evaluation, the goal is to differentiate an imperforate hymen from other obstructing anatomic etiologies, such as labial adhesions, urogenital sinus, transverse vaginal septum, or distal vaginal atresia. Read More

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Management of Acute Obstructive Uterovaginal Anomalies: ACOG Committee Opinion Summary, Number 779.

Authors:

Obstet Gynecol 2019 06;133(6):1290-1291

Obstructive uterovaginal anomalies may present after puberty with amenorrhea, dysmenorrhea, pelvic pain, recurrent vaginal discharge, or infertility. The evaluation of a patient with a suspected obstructive reproductive anomaly should include a detailed medical history, physical examination, and imaging. The genital examination is critical to differentiate a patient with an imperforate hymen from a patient with labial adhesions, urogenital sinus, transverse vaginal septum, or distal vaginal atresia. Read More

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Virginity-sparing management of hematocolpos with imperforate hymen: case report and literature review.

SAGE Open Med Case Rep 2019 2;7:2050313X19846765. Epub 2019 May 2.

Douala General Hospital, Douala, Cameroon.

Imperforate hymen results from failure of the endoderm of the urogenital sinus to completely canalize and has an incidence of 0.01% to 0.05%. Read More

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Hydrocolpos Caused by Imperforate Hymen in a Preterm Newborn.

Saudi J Med Med Sci 2019 May-Aug;7(2):124-125. Epub 2019 Apr 12.

Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India.

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