Pseudoacute abdomen in female caused by haematometrocolpos and haematosalpinx because hymen imperforatus: diagnosis and therapy of imperforate hymen

• Autorzy: Mirna Erman-Vlahović , Dubravko Habek , Ivan Vlahović , Mirna Bobić
• Języki publikacji: EN

Abstrakty

EN

We present a case of atresia hymenalis in a 12.5 year old female who was admitted to gynecological emergency with a history of severe lower abdominal pains over the course of a few months. Provided are clinical pictures of the “Pseudoacute abdomen”. Upon clinical examination, we found blue, shiny, bulging and imperforated hymen. An abdominal mass was palpated in the vicinity of the navel. Transabdominal ultrasound demonstrated mass filled with thick liquid. “Mercedes hymenal incision” was performed in general anaesthesia. About 1.2 litre of dark, thick blood was removed. Postoperative course was uneventful. The two years of follow-up were characterized with regular psychomotoric development for the age with regular menstrual cycles.

Słowa kluczowe

EN

Imperforate hymen; haematocolpos; haematometra; haematosalpinges; pseudoacute abdomen; hymenal incision

• Czasopismo: Open Medicine
• Rocznik: 2007
• Tom: 2
• Numer: 3
• Strony: 351-355

Daty

wydano

2007-09-01

online

2007-05-13

Twórcy

autor

Mirna Erman-Vlahović

• Department of Gynecology and Obstetrics, Clinical Hospital, 31000, Osijek, Croatia

autor

Dubravko Habek

• Department of Obstetrics and Gynecology, School of Medicine, Sveti Duh General Hospital, 10000, Zagreb, Croatia,

autor

Ivan Vlahović

• Department of Gynecology and Obstetrics, Clinical Hospital, 31000, Osijek, Croatia

autor

Mirna Bobić

Bibliografia

• [1] O. Bakos and L. Berglund: “Imperforate hymen and rupturated hamatosalpinx:a case report with a review of the literature”, J. Adolescent Health, Vol. 24, (1999), pp. 226–228. http://dx.doi.org/10.1016/S1054-139X(98)00077-9[Crossref]
• [2] A.C. Nisanian: “Hematocolpometra presenting as urinary retention. A case report”, J. Reprod. Med., Vol. 38, (1993), pp. 57–60.
• [3] C. Estel, M. Baum and S. Tausch: “Diagnosis and therapy of imperforate hymen”, Zbl. Gynakol., Vol. 117, (1995), pp. 108–110.
• [4] C.A. Dell Agnola, L. Fedele, D. Zamberletti, A. Fagnani and M. Marchini: “The management of hydrocolpos”, Acta Eur. Fertil., Vol 15, (1984), pp. 51–57.
• [5] M.M. Joki-Erkkila and P.F. Heinonen: “Presenting and long-term clinical implications and fecundity in females with obstructing vaginal malformations”, J. Pediatr. Adolesc. Gynecol., Vol. 16, (2003), pp. 307–312. http://dx.doi.org/10.1016/S1083-3188(03)00157-8[Crossref]
• [6] M.C. Shen and L.Y Yang: “Imperforate hymen complicated with pyocolpos and lobar nephronia”, J. Chin. Med. Assoc., Vol. 69, (2006), pp. 224–247. http://dx.doi.org/10.1016/S1726-4901(09)70223-0[Crossref]
• [7] A. Pena, M.A. Levitt, A. Hong and P. Midulla: “Surgical management of cloacal malformations: a review of 339 patients”, J. Pediatr. Surg., Vol. 39, (2004), pp. 470–479. http://dx.doi.org/10.1016/j.jpedsurg.2003.11.033[Crossref]
• [8] Z. Nazir, R.M. Rizvi, R.N. Quershi, Z.S. Khan and Z. Khan: “Congenital vaginal obstructions: varied presentation and outcome”, Pediatr. Surg. Int., Vol. 22, (2006), pp. 749–753. http://dx.doi.org/10.1007/s00383-006-1730-8[Crossref]

Identyfikatory

DOI

10.2478/s11536-007-0027-1