Masse pelvienne chez une jeune fille: penser à l'hématocolpos

Salem, A. Ben; Yahyaoui, S; Messoud, Amal; Mhabrech, H. El; Faleh, Rajaa; Hafsa, C.

doi:10.11604/pamj.2014.17.84.3760

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…The vulvar patency allowing the onset of menstruation in girls of puberty is a sign of healing. Hymenal ring sclerosis has been reported in a study by Castaigne and Haddad on 9 patients operated on for hymenal imperforation [37][38][39].…”

Section: Resultsmentioning

confidence: 99%

Hematocolpos on Hymeneal Imperforation: A Case Report and Literature Review

Zidane¹

2021

BJSTR

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Introduction: Hymenal imperforation is a rare birth defect. It produces a vulvar obstruction responsible for vaginal retention of menstrual blood. Its diagnosis and management must be early in order to preserve the subsequent fertility of the patients. Material and Methods:We report a case of hematocolpos on hymenal imperforation hospitalized in the obstetric gynecology emergency department of the Souissi Maternity Hospital in Rabat in September 2019. The aim of our work was to analyze the diagnostic and therapeutic features of this pathology.Results and Discussion: It emerges from this work that this anomaly is the prerogative of patients in the peri-pubertal period. The spectrum of clinical signs is dominated by abdominopelvic pain, the existence of abdomino-pelvic swelling and urinary complications such as acute urine retention, pollakiuria and dysuria. The diagnosis is mainly clinical by the discovery of perineovulvar swelling on genital examination, it is guided by ultrasound. Surgical treatment is simple. It is carried over an incision of the obturating membrane and drainage of the collection. Revision surgery is necessary in the event of hymenal restenosis. Conclusion:Systematic screening for hymenal imperforation at birth and its early diagnosis in the face of painful primary amenorrhea can prevent its complications.

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Section: Resultsmentioning

confidence: 99%

Hematocolpos on Hymeneal Imperforation: A Case Report and Literature Review

Zidane¹

2021

BJSTR

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“…The typical clinical picture is dominated by the presence of cyclic median pelvic pain that may sometimes take on a pseudo-appendicular character, sometimes accompanied by hematocolpos pushing up the uterus on the sagittal section, Blue arrow: bladder lumbosciatica [5]. A pelvic mass syndrome may, in case of voluminous hematoma, cause urological and/or digestive complications such as urinary retention, dysuria, hydronephrosis or constipation [6].…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis is easy to establish clinically and is made during gynecological examinations. In gynecological examinations, an obstruction of the vaginal orifice by an intact, thin, semi-transparent, bulging membrane (hymen) is observed in a patient who has not yet menstruated despite the development of secondary sexual characteristics [4,6].…”

Section: Discussionmentioning

confidence: 99%

Hematocolpos on late-onset hymenal imperforation: A case report

Diarra

Salihou

Traoré

et al. 2022

Imaging

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We report the case of a patient with hematocolpos on hymenal imperforation, revealed following cyclic pelvic pain with primary amenorrhea associated with pelvic heaviness for one year. MRI showed significant distension of the vagina forming a pseudo mass, well limited, in T1 high signal, in moderate T2 high signal, with the presence of declining deposits in hyposignal related to hemosiderin. A hymenotomy was performed under general anaesthesia, the postoperative course was favourable. This case illustrates the particularity of suspecting a hematocolpos in the presence of a pelvic mass in a young girl with amenorrhea.

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