Imperforate Hymen Causing Bilateral Hydroureteronephrosis in an Infant with Bicornuate Uterus

Ekşioğlu, Ayşe Seçil; Maden, Haşim Ata; Çınar, Gökçe; Yildiz, Yasemin

doi:10.1155/2012/102683

Cited by 24 publications

(26 citation statements)

References 9 publications

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“…8 The function of the hymen is not clear but is thought to include innate immunity as it provides a physical barrier to infections during the prepubertal period when the vaginal immunity is not fully developed. 4 Imperforate hymen is rarely associated with other female genital tract malformations 2,3 although some authors 9,10 have emphasized the need to rule out associated Mullerian malformations. If the hymen is imperforate, mucus and blood from endometrial sloughing accumulate in the vagina which can present during three main stages in life.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

Rathod

Samal

Rajsekaran

et al. 2014

Int J Reprod Contracept Obstet Gynecol

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Section: Discussionmentioning

confidence: 99%

“…11 II. Recurrent cyclical lower abdominal/pelvic pains (up to 60%) 3,7,9 due to continued distension of the vagina and uterus by accumulating menstrual blood and low back pain (38-40%) 3 which is a referred pain following irritation of the sacral plexus and nerve roots by the distended vagina and uterus.…”

Section: Discussionmentioning

confidence: 99%

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

Rathod

Samal

Rajsekaran

et al. 2014

Int J Reprod Contracept Obstet Gynecol

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“…A u n q u e l a prevalencia de otras malformaciones asociadas no es alta, algunos autores recomiendan descartar malformaciones genitales asociadas mediante una ecografía posquirúrgica y la búsqueda de malformaciones urológicas mediante una ecografía abdominal. 10 El tratamiento de elección es la plastia del himen: apertura de la membrana himeneal. La técnica quirúrgica más aceptable es la descrita por Rock, 4 que consiste en efectuar incisiones estrelladas a través de la membrana himeneal con escisión de los bordes.…”

Section: Discussionunclassified

Himen imperforado como causa de dolor abdominal en la adolescencia. A propósito de un caso

2014

Arch Argent Pediat

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Presentación de casos clínicos RESUMENEl himen imperforado es una anomalía congénita del desarrollo genital femenino. Es una patología poco frecuente, con una incidencia estimada del 0,1% de los recién nacidos del sexo femenino. En muchas ocasiones, el diagnóstico pasa inadvertido hasta la pubertad y debuta con dolor abdominal cíclico en adolescentes que no han presentado la menarquia. El diagnóstico se basa en la anamnesis y la exploración física, aunque las pruebas complementarias, en especial la ecografía, permiten la comprobación del diagnóstico clínico y la exclusión de otras malformaciones genitales. Se presenta el caso clínico de una paciente de 13 años que fue diagnosticada tras consultar en varias ocasiones por dolor abdominal recurrente. Palabras clave: himen imperforado, dolor abdominal, menarquia, hematocolpos, hematosalpinx. SUMMARYThe imperforate hymen is a congenital anomaly of the female genital development. This is a rare pathology with an estimated incidence of 0.1% in female newborns. In many cases, the diagnosis goes unnoticed until puberty, debuting with cyclical abdominal pain in adolescents who have not submitted menarche. Diagnosis is based on history and physical examination, although additional tests, especially the ultrasound that allows to confirm clinical diagnosis and to exclude other genital malformations. We report a case of a 13-year-old that was diagnosed after consulting several times for recurrent abdominal pain.

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“…Hydrocolpos is cystic dilation of the vagina with fluid accumulation due to stimulation of secretory glands of the reproductive tract secondary to vaginal obstruction. Hydrocolpos may lead to obstructive uropathy through the compression of the lower urinary tract, resulting in hydronephrosis and hydroureters 1. Hence early detection is essential as it could be associated with life-threatening renal failure 2.…”

Section: Descriptionmentioning

confidence: 99%

Neonatal imperforate hymen with hydrocolpos

2016

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DESCRIPTIONA 34+4 weeks neonate was born by spontaneous vaginal delivery with normal antenatal scans. Routine neonatal examination revealed the absence of a vaginal opening with bulging of vaginal introitus (figure 1). Urethral and anal openings were patent. A provisional diagnosis of an imperforate hymen with hydrocolpos was considered.Subsequent investigations revealed a deranged renal function at 22 hours of life (creatinine 99 mmol/L, urea 10.2 mmol/L, K 6.6 mmol/L and Na 132 mmol/L). An urgent abdominal ultrasound was arranged to rule out hydronephrosis. The kidneys and lower genitourinary tract were normal.The imperforate hymen was managed surgically through a hymenal incision. Subsequently, the external female genitalia appeared normal (figure 2) and the renal function normalised. A positive family history was noted with an elder sibling who also had an imperforate hymen, which was surgically treated at 5 months.The incidence of imperforate hymen is estimated at 0.014-0.1% and presentation is often late with amenorrhea in adolescence. Hydrocolpos is cystic dilation of the vagina with fluid accumulation due to stimulation of secretory glands of the reproductive tract secondary to vaginal obstruction. Hydrocolpos may lead to obstructive uropathy through the compression of the lower urinary tract, resulting in hydronephrosis and hydroureters. 1Hence early detection is essential as it could be associated with life-threatening renal failure.2 As observed in our report, cases of familial recurrence have been reported. 3A thorough newborn examination is essential to screen for an imperforate hymen, which can result in renal complications in the neonatal period. Learning points▸ A thorough newborn screening examination may enable the detection of rare conditions such as imperforate hymen presenting in the neonatal period. ▸ An imperforate hymen usually presents in adolescence with amenorrhoea, but may be detected in the neonatal period. ▸ Hydrocolpos associated with an imperforate hymen can cause renal failure.Contributors MR and CB conceived the idea. LP wrote the first draft of the article. MR and CB participated in revising the manuscript and all authors approved the final submitted version.Competing interests None declared. Patient consent Obtained.Provenance and peer review Not commissioned; externally peer reviewed. Figure 1 Imperforate hymen noted at birth.

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Imperforate Hymen Causing Bilateral Hydroureteronephrosis in an Infant with Bicornuate Uterus

Cited by 24 publications

References 9 publications

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

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

Himen imperforado como causa de dolor abdominal en la adolescencia. A propósito de un caso

Neonatal imperforate hymen with hydrocolpos

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