Hematocolpos due to imperforate hymen: a case report and literature systematic review

Marino, Giuseppe; Alfieri, Nikita; Tessitore, Isadora Vaglio; Barba, Marta; Manodoro, Stefano; Frigerio, Matteo

doi:10.1007/s00192-022-05270-x

Cited by 9 publications

(18 citation statements)

References 36 publications

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“…However, in such cases, long-term follow-up is more important, as complications and recurrence are not rare and were reported 3-6 months after management. 6 The immediate surgical intervention in this case is important as the amount of blood may be huge as in a recent article reported the drainage of 3 L of blood. 15…”

Section: Discussionmentioning

confidence: 92%

“…Taking into account the surgical history of our patient, the differential diagnosis included a wide spectrum of gynecological conditions, most notably pelvic inflammatory disease and endometriosis 7,8 . Yet, the ultrasound was vital in reaching this diagnosis; it has been reported to be diagnostic in many case reports 6 …”

Section: Discussionmentioning

confidence: 92%

“…Regarding the treatment, the patients underwent surgical drainage of the blood. This is a well‐documented approach to treatment, 6 and it was appropriate and available in this situation. Other modalities of treatment include laparoscopic drainage, which is used for symptom relief but is not considered a definitive treatment 6 .…”

Section: Discussionmentioning

confidence: 99%

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A rare cause of amenorrhea: Hematocolpos in a post‐cystocele repair patient

Mohammed,

Elgadi,

Nuri

2024

Clinical Case Reports

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Key Clinical MessageSecondary hematocolpos is a rare but serious complication after cystocele repair. This warrants multidisciplinary management (gynecology and urology) to optimize outcomes & minimize iatrogenic risks.AbstractHematocolpos is the term used for the accumulation of menstrual blood in the vagina. It is most commonly seen in adolescent girls but can also occur in elderly women as a result of gynecological conditions. We present the case of a 48‐year‐old female who presented with amenorrhea and abdominal pain following surgical repair of a cystocele. Investigation revealed secondary hematocolpos due to surgical trauma. Surgical drainage and correction of the uterus were performed, resulting in immediate pain relief. This case underscores the importance of considering hematocolpos in patients with post‐surgical amenorrhea, and further research is needed to better understand its causes, risk factors, and optimal management strategies.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 92%

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A rare cause of amenorrhea: Hematocolpos in a post‐cystocele repair patient

Mohammed,

Elgadi,

Nuri

2024

Clinical Case Reports

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“…The prognosis of quo ad vitam, quo ad functionam, and quo ad sanctionam for this patient is bonam. 2,20 Imperforate hymen is important to be diagnosed as early as possible to avoid complications that can occur due to late diagnosis. Clinicians can prevent delays in diagnosis, misdiagnosis, and the resulting morbidity by examining the external genitalia as part of their daily clinical practice.…”

Section: Discussionmentioning

confidence: 99%

“…21,22 Evaluation of the patient's family members is important because some cases of the imperforate hymen are familial. 2,20 The American Academy of Pediatrics (AAP) recommends examining the external genitalia as part of a comprehensive physical examination of all infants and adolescents at routine health visits. 16,21,23 Examination of the external genitalia is performed to ensure that there is normal genitalia anatomy, to assess pubertal status, and an ultrasound examination of the abdomen to look for abnormal lesions, infection or trauma.…”

Section: Discussionmentioning

confidence: 99%

Haematocolpos and Secondary Hematometra Due to Imperforate Hymen: Diagnosis and Treatment

Fairuza

2022

J Biomedika dan Kesehat

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BackgroundImperforate hymen is an uncommon congenital anomaly of the female genital tract and is rarely diagnosed in newborns. An imperforate hymen is a cause of primary amenorrhea. Case DescriptionA 12-year-old girl was admitted to the pediatric outpatient clinic with cyclic abdominal pain for eight days. She had lower abdominal pain with dysuria and constipation for the previous six weeks. There is a bulging mass on the perineal that appears when straining. Fever, nausea, vomitus, abdominal enlargement, and leucorrhea were denied; breast enlargement since 12 years old with no history of menarche. The patient vital signs were normal. On physical examination obtained, lower abdominal pain and tender suprapubic mass were palpable. The pubertal status was normally secondary sexual characteristics. An interlabial mass was found protruding from the introitus vagina and the hymen intact on inspection of the external genitalia. Laboratory and urinalyses revealed normal. Hematometra and hematocolpos were found on abdominal ultrasonography, which led to the diagnosis of imperforate hymen. Therefore, a hymenectomy was performed and evacuated 520 ml of dark red blood. The patient’s condition was good, and she had regular menstruation. ConclusionsImperforate hymen is an easy diagnosis, but sometimes clinicians are oblivious to including this in the differential diagnosis of lower abdominal pain in pubescent girls with primary amenorrhea. Also, a lack of awareness about the importance of external genitalia examination as part of routine physical examination in children and adolescents makes this diagnosis easily missed or delayed.

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