Imperforate Hymen - a care cause of acute abdominal pain and tenesmus: case report and review of the literature

Abstract

Imperforate hymen is a rare condition that presents with amenorrhea, cyclical abdominal pains and urine retention among pubertal girls. A 14 year old girl with imperforate hymen underwent hymenotomy for hematocolpometra, having presented with abdominal pains and tenesmus.

Pelvic pain in young girls: not only dysmenorrhoea!

“…Symptoms can be unspecific such as cyclic abdominal pain and dysuria, like girl A, and usually patients are asymptomatic till menarche. Mwenda described a 14-year-old Kenyan girl who presented lower abdominal pain associated with tenesmus and anorexia 7. Other forms of presentation can be an abdominal mass, like girl B, or an haemoperitoneum, as described by Acosta et al (a series of cases of haemoperitoneum due to imperforate hymen which underwent exploratory laparotomy) 8.…”

Final Diagnosis May Not Be Always as Expected: Acute Lomber Pain and Tenesmus Due to Hymen Imperfora

“…Hymen imperforate is a developmental anomaly with a prevalence of %0.014-0.1 in population [2]. Although it is diagnosed in pubertal period commonly, there are some cases which are reported inutero or newborn period; in literature [3]. Hymen that has grooved from mesodermal layer; perforates spontaneously by the late phase of embryogenesis; if this perforation does not occur it is called as hymen imperforates.…”

A Review of Lesions of the Posterior Fourchette, Posterior Vestibule (Fossa Navicularis), and Hymen

“…Less common symptoms include tenesmus, back pain, urinary obstruction, intestinal obstruction, or vascular obstruction. 14 Rarely, life-threatening sequelae have been reported in infants with imperforate hymen, including postobstructive acute renal failure secondary to urethral obstruction by the mass produced by mucocolpos 15 and fetal or neonatal ascites or peritoneal calcification. 16 Fetal urinary obstruction by mucocolpos may secondarily result in severe oligohydramnios.…”