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

Amponsah-Manu, Foster; Ssentongo, Paddy; Arkorful, Temitope Ebenezer; Ofosu-Akromah, Richard; Ssentongo, Anna E.; Hansen-Garshong, Seth; Oh, John S.

doi:10.1016/j.ijscr.2019.09.003

Cited by 6 publications

(3 citation statements)

References 18 publications

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“…Vaginal agenesis and vaginal septum must be eliminated from differential diagnosis since inaccurate treatment may lead to serious complications. When it comes to female patients with lower abdominal pain and gastrointestinal clinical presentations a multidisciplinary approach consisting of general surgeons and gynecologists is required in order to rule out acute appendicitis which can mimic the signs of an imperforate hymen case [10]. Surgical treatment by hymenotomy with simple vertical, cyclical, cruciate, and T-shaped or X-shaped incisions aims to repair genital tract outflow [11].…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Imperforate Hymen Presenting with Perineal Pain

Zacharis¹,

Klimatsouda²,

Donoudis³

et al. 2021

austiniobstetgynecol

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Introduction: Imperforate hymen is a rare local fusion anomaly of the female reproductive tract and diagnosis can be easily missed. Cyclic lower abdominal pain and amenorrhea are common symptoms in cases left untreated after menarche. Perineal pain may be an unusual presenting symptom of imperforate hymen. In order to avert complications related to delayed treatment, hymenotomy is considered effective management. Case Report: We herein describe a case of a 13-year-old adolescent girl with an imperforate hymen presenting with lower abdominal and perineal pain. The girl underwent and hymenotomy and postoperative period was uneventful. Perineal and pelvic pain relieved instantly after surgical treatment and during follow up her menstrual cycles were regular.

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Section: Discussionmentioning

confidence: 99%

A Rare Case of Imperforate Hymen Presenting with Perineal Pain

Zacharis¹,

Klimatsouda²,

Donoudis³

et al. 2021

austiniobstetgynecol

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“…Imperforate hymen can mimic acute appendicitis; hence a multidisciplinary approach consisting of general surgeons and gynecologists is of outmost importance in order to exclude acute abdomen from differential diagnosis when it comes to adolescents with abdominal pain and gastrointestinal symptoms 10 .…”

Section: Discussionmentioning

confidence: 99%

Imperforate hymen: a rare cause of tenesmus

Zacharis¹,

Kravvaritis²,

Chrysafopoulou³

et al. 2020

HJOG

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Imperforate hymen is an uncommon obstructive anomaly of the female reproductive tract for which early diagnosis is easy to miss. Untreated cases after menarche may cause cyclic lower abdominal pain and amenorrhea. Hymenotomy is considered proper management in order to avoid complications associated with late treatment. We report a case of an imperforate hymen in a 13-year-old adolescent girl presenting with tenesmus and acute lower abdominal pain. The patient was treated with hymenotomy and postoperative period was uneventful. Tenesmus and lower abdominal pain resolved immediately after surgery and during follow up the girl reported normal menstrual cycles. According to our case, tenesmus may be an atypical clinical presentation of imperforate hymen. Therefore, imperforate hymen should not be eliminated from differential diagnosis when it comes to adolescent females with abdominal pelvic pain and gastrointestinal symptoms and gynecological examination should be performed.

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“…Ultrasonography, computed tomography (CT), and magnetic resonance imaging (MRI) are used to diagnose hemato‐/hydrocolpos. In particular, MRI with its high‐resolution soft tissue contrast provides useful information for the differential diagnosis of obstructive causes and management decisions 2,3 …”

Section: Figmentioning

confidence: 99%