Introduction: The multidimensional crisis (security, institutional and humanitarian) that Mali experienced in 2012 caused a massive displacement of populations, particularly the most vulnerable, i.e. women and children. During the occupation, numerous cases of violence were reported by rights organizations and non-governmental organizations. Objective: The objective was to highlight the contribution of the obstetrics and gynecology department of the Sominé DOLO hospital in Mopti in dealing with violence against women and girls during this period. Methods and Materials: This was a cross-sectional study from January 1, 2016 to August 31, 2017 on victims admitted to our service for cases of gender-based violence. The sample size was 20 and was randomly selected. The inclusion criteria were all victims of violence against women and girls admitted to the service during the study period. The noninclusion criteria concerned cases of violence against women and girls not recorded and managed in our service. Results: In total, we recorded 6971 outpatients in the obstetrics and gynecology department of the Sominé DOLO
A relatively rare congenital malformation, hematocolpos is the progressive accumulation of menstrual blood in the vaginal cavity at puberty. It is often the consequence of a hymen imperforation. It is clinically manifested by cyclic pelvic pain and primary amenorrhea and, more rarely, by a pelvic mass syndrome. The diagnosis is primarily clinical. Ultrasound and magnetic resonance imaging (MRI) are additional tests to confirm hematolcolpos and exclude other associated genitourinary malformations. Treatment consists of a hymenotomy to drain the hematocolpos. The age of discovery of hematocolpos varies from 13 to 14 years. We report a case of hematocolpos secondary to hymenal imperforation diagnosed in a 17-year-old girl with periodic pelvic pain, primary amenorrhea and a pelvic mass. A first ultrasound trap had evoked a large ovarian cyst but the repeat pelvic ultrasound in our hospital confirmed the diagnosis of hematocolpos.
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