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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Hematometrocolpos was detected by transabdominal ultrasonography. Preserved hymen after hymenotomy. The development of her secondary sexual characteristics was normal for her age. Some authorities believe that hymenotomy is simple and can be done even in newborns [ 4 ]. You can help Wikipedia by expanding it. After one day, a chocolate-like fluid started to spill out from the vagina. Am J Obstet Gynecol. Br J Clin Pract. Constipation, urinary retention and infection, pelvic infection and tubo-ovarian abscess, hematosalpix, and endometrosis are the other reported symptomatic presentations of imperforate hymens when treatments were delayed [ 3 – 6 ].

Therefore, a careful anamnesis, and physical examination are essential for diagnosis and management. Both ovaries were observedly normal. Kidney dish containing evacuated blood from the uterus and vagina.

Vaginal bleeding Postcoital bleeding. Transvaginal sonography in the evaluation of hematometra. For adolescents already using combined oral contraceptives COCs and admitted with HMB despite treatment, transition to i.


Minimal trimming of the edges of the hymen was done to prevent defloration. Support Center Support Center.

The authors declared that this study has received no financial support. Abstract Hematometrocolpos is accumulation of blood in the vagina and uterine cavity due to intra-uterine hemorrhage. A hemtaometra ultrasound obtained 2 days later showed resolution of the hematometrocolpos. Transvaginal sonography of hematotrachelos and hematometra causing acute urinary retention after previous repair of intrapartum cervical lacerations. Views Read Edit View history. Female diseases of the pelvis and genitals N70—N99— Look up hematocolpos in Wiktionary, the free dictionary.

Management of abnormal uterine hematkcolpos in adolescents.


There can be four possible causes of Hematocolpos [12]. We report a case of a year-old girl who presented with delayed menarche, eight-month history of cyclic abdominal pain, and a three-week hematometr of lower abdominal swelling.

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. From Wikipedia, the free encyclopedia. Noninflammatory disorders of female genital tract. Endometrium Asherman’s syndrome Dysfunctional uterine bleeding Endometrial hyperplasia Endometrial polyp Endometriosis Endometritis.

Female infertility Recurrent miscarriage. However, presenting symptoms of hematometra and hematocolpos without any evidence of primary and secondary amenorrhea hhematometra considered to be related to massive uterine bleeding following the use of progestin fifteen days previously. National Center for Biotechnology InformationU.


Hematometra – Wikipedia

She was discharged on the third postoperative day, and was to be seen in the gynecological clinic in six weeks. There is not enough data as yet to recommend one specific type of COC over any other [ 21 ]. From Wikipedia, the free encyclopedia. Imperforate hymen is a rare congenital malformation that closes the vagina outflow tract causing accumulation of mucus, fluid and menstrual blood. Retrieved from ” https: She admitted to occasional episodes of constipation and urinary retention.

Decreased drainage of accumulated debris rather than acute hemorrhage may have caused hematometrocolpos. Narrow diameter of the hymenal opening may have facilitated this process.

Acute spontaneous hematotrachelos following methotrexate treatment of a suspected tubal pregnancy. Miss UG is a year-old girl who was referred to the gynecologic clinic of Enugu State Uematocolpos Teaching Hospital on account of eightmonth history of cyclic abdominal pain, delayed menarche, and a threeweek history of lower abdominal swelling.

Ultrasound diagnosis of hematotrachelos: This page was last edited on 27 Octoberat