Imperforate Hymen Presenting with Massive Hematometra and Hematocolpos: A Case Report . Figure 2: Evacuation of hematocolpos and heamatometra. Hematometra a nd Hematocolpos: Ultrasound. Findings. x/79/ lolo. $ JOACHIM. F. SAILER’. An imperforate hymen is the most. A large hematometra and hematocolpos were detected by transabdominal ultrasound scanning. Transabdominal ultrasound depicted a distended uterus 90 mm.
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Although hematometra can often be diagnosed based purely on the patient’s history of amenorrhea and cyclic abdominal pain, as well as a palpable pelvic mass on examination, the diagnosis can be confirmed by ultrasoundwhich will show blood pooled in the uterus and an enlargement of the uterine cavity.
The case is presented here because of the successful management of hematometrocolpos due to massive dysfunctional uterine bleeding in a young virgin patient.
The kidneys, ureters, uterus and ovaries were normal. The diagnosis of imperforate hymen in miss UG was delayed till after menarche when over mls of menstrual blood had accumulated as hematometra and hematocolpos.
The diagnosis and treatment of this situation includes a careful physical, and ultrasonographic examinations, and laboratory tests to exclude other diagnoses such as bleeding disorders, anatomic and endocrine causes.
Hematometra and extended vaginal haematoma hemmatocolpos laser conization. Bartholin’s cyst Kraurosis vulvae Vestibular papillomatosis Vulvitis Vulvodynia. Netter’s Obstetrics and Gynecology. Bhatia Medical Coaching Institute Pvt. Treatment of hematotrachelos after dilatation and curettage.
Hematocolpos – Wikipedia
It is often caused by the combination of menstruation with an imperforate hymen. Clinicians should have high index of suspicion of imperforate hymen when assessing cases of delayed menarche with cyclic lower abdominal pain to prevent the consequences of its delayed treatment like massive hematometra and hematocolpos.
Open in a separate window. She had virginity-preserving hymenotomy and evacuation of about mls of accumulated coffee-colored menstrual blood. Adnexa Ovary Endometriosis of ovary Female infertility Anovulation Poor ovarian reserve Mittelschmerz Oophoritis Ovarian apoplexy Ovarian cyst Corpus luteum cyst Follicular cyst of ovary Theca lutein cyst Ovarian hyperstimulation syndrome Ovarian torsion.
September 22, ; Accepted date: Asherman’s syndrome Dysfunctional uterine bleeding Endometrial hyperplasia Endometrial polyp Endometriosis Endometritis. Published online Aug 3. Int J Gynaecol Obstet.
Persistent genital arousal disorder. Intravenous crystalloid infusion for the replacement of the blood volume may be given to a patient with an acute HMB episode which is causing anemia [ 19 ].
Can’t read the image? She was pale because of heavy bleeding for 5 days and hemoglobin level was measured as 5.
Hematometra – Wikipedia
October 05, ; Published date: Neonatal and pediatric ultrasonography. Ultrasound diagnosis of hematotrachelos: Am J Dis Child.
This women’s health related article is a stub. Congenital abnormalities resulting in hematometrocolpos include imperforate hymen, a complete transverse vaginal septum, vaginal and, rarely, cervical atresia [ 789 ].
Haematocervix after conization diagnosed by ultrasonography. A year-old female presented to our clinic with massive menorrhagia at menarche after progestin usage.
Her secondary sexual characteristics were hematomerra for the age Tanner stage Hemqtometra. In addition, HMB episodes may occur because of disruptions or abnormalities of the coagulation cascade [ 1 ].
Endometriosis of ovary Female infertility Anovulation Poor ovarian reserve Mittelschmerz Oophoritis Ovarian apoplexy Ovarian cyst Corpus luteum cyst Follicular cyst of ovary Theca lutein cyst Ovarian hyperstimulation syndrome Ovarian torsion. Conclusion Adolescents often present at gynaecologists with HMB, although HMB following the usage of contraceptive pills which may cause hematometrocolpos is rare. Female diseases of the pelvis and genitals N70—N99— Her hematocolpoa was soft, with moderate tenderness hmatometra the lower abdomen without rebound.
Virginity is cherished by many religions, cultures and families [ 8 ]. Gynaecologic disorders Women’s health stubs. Retrieved from ” https: Additionally, hematometra may develop as a complication of uterine or cervical surgery such as endometrial ablationwhere scar tissue in the endometrium can “wall off” sections of endometrial glands and stroma causing blood to accumulate in the uterine cavity.
Narrow diameter of the hymenal opening may have facilitated this process.
Endometriosis of ovary Female infertility Anovulation Poor ovarian reserve Mittelschmerz Oophoritis Ovarian apoplexy Ovarian cyst Corpus luteum cyst Follicular cyst of ovary Theca lutein heatometra Ovarian hyperstimulation syndrome Ovarian torsion.
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Imperforate Hymen Presenting with Massive Hematometra and Hematocolpos: A Case Report
About one fifth of females presenting with heavy menstrual periods may have an underlying blood dyscrasia nematometra 2151617 ].
Pelvic congestion syndrome Pelvic inflammatory disease. Antenatal ultrasound can also detect the bulging imperforate hymen due to the accumulation of hydrocolpos or mucocolpos in the female fetus that occurred in response to maternal oestrogens.
Clinical Practice and Cases in Emergency Medicine. Cervical dysplasia Cervical incompetence Cervical polyp Cervicitis Female infertility Cervical stenosis Nabothian cyst. Uterine bleedings due to obstruction of the lower female genital tract cause proximal dilatation and the occurrence of hematocolpos, hematotrachelos or hematometra are the most common problems defined as congenital abnormalities [ 456 ].
This article has been cited by other articles in PMC. Cervical dysplasia Cervical incompetence Cervical polyp Cervicitis Female infertility Cervical stenosis Nabothian cyst.
It is most hfmatocolpos caused by an imperforate hymen or a transverse vaginal septum. Manual of Outpatient Gynecology 4th ed.