Hematometra and acute abdomen

Abstract

We report a case of a young woman who presented as acute abdomen due to hematometra resulting from cervical fibroid. This uncommon cause of acute abdominal pain should be considered in women especially with amenorrhea.

Spotting the Culprit: A Rare Case of Hematometra in a Menstruating Female with Fraser Syndrome

“…Hematometra is the retention of blood in the uterine cavity [2]. It is an uncommon disorder due to partial or complete obstruction of menstrual flow at any portion of the lower genital tract [3].…”

“…It is an uncommon disorder due to partial or complete obstruction of menstrual flow at any portion of the lower genital tract [3]. It is commonly caused by congenital abnormalities such as an imperforate hymen, noncommunicating Müllerian duct, and transverse vaginal septum [2,3]. In older women, it is typically acquired by senile atrophy of the endocervical canal and endometrium, cervical stenosis associated with surgery, radiation therapy, endometrial ablation, and malignant disease of the endocervical canal [3].…”

A rare case of hematometra secondary to cervical stenosis following laparoscopic myomectomy: A case report

“…Primary hematometra produced by an imperforate cervix has also been described in postmenopausal girls with didelphys uterus (Klimek et al, 2012). Hematometra may also be acquired as a difficulty of endometrial ablation or as a result of cervical stenosis caused by uterine and cervix surgical procedures such as Loop electrosurgical excision procedure (LEEP) and conisation of cervix prior to cervical radiation therapy (Nayak et al, 2010). Ablation of the cervicouterine junction is common in some cases, most likely due to poor surgical technique.…”

Imperforate Hymen

“…Hematocolpos and hematometria are the accumulation of menstrual blood in the vagina and uterine cavity respectively. 1,2 This is due to an obstruction in the outflow tract of the lower reproductive organs. The most common cause of obstruction is an imperforate hymen.…”