Imperforate hymen and its complications: report of two cases and review of literature

Diagnosis and surgical treatment of bilateral ureteral calculi, hydronephrosis, pyometra, pyocolpos, vestibulovaginal stenosis, and imperforate hymen in a dog: A rare critical case report

“…Similar cases are typically reported in humans, normally in newborns, or during puberty [ 18 ]. Newborn or childhood cases may occur due to maternal estrogenic stimulation that triggers uterovaginal secretions that are trapped by the obstructed vagina and can present with hydrocolpos.…”

“…In these cases, menstrual blood is stored in the vagina behind the imperforate hymen, which is known as hematocolpos. Consequently, hematometra, hematosalpinx, and pyocolpos may develop [ 18 ] and can be diagnosed by imperforate hymen. Interestingly, there are no reports of cases in newborn canines.…”

Imperforate hymen and leaking hematosalpinx mimicking acute appendicitis: A report of a rare case and a review of literature

“…Nevertheless, this would not have changed surgical management. Typically, imperforate hymen presents with primary amenorrhea and a cyclic pattern of lower abdominal/pelvic pain [7,8], with or without associated symptoms such as back pain (38%–40%), urine retention (37%–60%) [2,3], or constipation (27%). Blood accumulation in the vagina and uterus is evident when the distensible membrane bulges between the labia.…”

“…Rectal examination revealed an anterior massHematocolpometraX-shaped incision of the hymen. The edges of the hymen were everted and anchored by Vicryl 2/0 sutures600Doing well at one month[7]India14One-day history of colicky lower abdominal pain and acute retention of urineTenderlower abdomen with a suprapubic mass corresponding to a uterus at 14 weeksBulging bluish color imperforate hymen, Exaggerated on valsalva maneuvers. Rectal examination revealed an anterior massHematocolpometraCruciate incision.…”

“…Rectal examination revealed an anterior massHematocolpometraCruciate incision. Mucosal margins everted and anchored by fine delayed absorbable suture (Vicryl 2/0)800Normal menses and patent outflow tract after one month[7]India164-months history of colicky cyclical lower abdominal and massTender, well defined, mobile, abdominal mass corresponds to 22 weeks gravid uterus with non-palpable lower border.Bulged blush color Imperforated hymenHematocolpometra with hematosalpinxX-shapedor cruciate incisions was made through the hymenal membrane at the 2-, 4-, 8-, and 10-o’clock.Margins of vaginalmucosa was approximated with fine delayed-absorbablesutureNormal menses and patent outflow tract after 1.5 months[8]Netherlands16One-year history of cyclical lower abdominal painMobile, non-tender mass, arising from the pelvis to the umbilicusBluish bulging hymenHematocolpometraHymenectomy with a cruciate incision500Patient asymptomatic and started to have regular menstrual cycles, 2-month follow[19]Italy3-dayAbdominal massAbdominal mass located in the mid region of the abdomen extending from the upper middle to the lowest regionSoft oval mass with an imperforate hymenHydrometrocolposHymenectomy -incisionof the hymenal membrane100 milky fluidsNormal structure of the uterus[20]Turkey8-monthRestlessness and intermittent fever of unknown etiologyMidline abdominal massProtruding imperforate hymenHydrometrocolposSimple cruciate incision was made over the hymen500, cloudy, yellowish, non-bloody mucosal secretionsGradual resolution of bilateral hydroureteronephrosis during 6-month follow-up[21]Australia14Severe left iliac fossa pain with her first episode of heavy bleeding pervaginaMarked lower abdominal tenderness on palpation, rebound tender...…”