Massive Hematometra due to Congenital Cervicovaginal Agenesis in an Adolescent Girl Treated by Hysterectomy: A Case Report

Gasim, Turki; Jama, Fathia E. Al

doi:10.1155/2013/640214

Cited by 10 publications

(13 citation statements)

References 10 publications

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“…In the long term it may result in endometriosis, urinary retention and infertility. Cryptomenorrhea is mostly caused by congenital causes like Müllerian duct anomalies resulting in absent vagina, transverse vaginal septum and imperforate hymen (Fotopoulou et al, 2010;Gasim and Al Jama, 2013;Saleh and Badawy, 2009) but can also be less commonly acquired, possibly after trauma or birth injury.…”

Section: Discussionmentioning

confidence: 99%

Cryptomenorrhea Secondary to Past Childhood Pelvic Trauma in Young Adolescent Girls: Case Series

Mazhar

Ch.

Saeed

et al. 2019

FandR

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Primary amenorrhea secondary to childhood pelvic trauma is very rare. We report two cases of adolescent girls with cryptomenorrhoea. Case 1 presented at 14 years of age with primary amenorrhea and cyclical lower abdominal pain for 1 year. She was run over by a tractor when she was three years old. Ultrasonography pelvis showed hematometra. Examination under anesthesia with diagnostic laparoscopy proceed laparotomy revealed uterine avulsion at level of isthmus. The second case presented at 13 years of age with urinary retention. Catheterization was not possible due to malpositioning of urethra so suprapubic catheterization was performed by urologists. Ultrasonography pelvis revealed hematocolpos. Detailed history revealed run over injury by a vehicle when she was two years old. Examination under anesthesia showed obstruction due to adhesions high up in vagina which were divided.

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Section: Discussionmentioning

confidence: 99%

Cryptomenorrhea Secondary to Past Childhood Pelvic Trauma in Young Adolescent Girls: Case Series

Mazhar

Ch.

Saeed

et al. 2019

FandR

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“…Both endometrial cavities communicate with the vagina either through a single uterine cervix (unicollis, most frequent) or through two uterine cervices (bicollis, less frequent). The occurrence of cervical atresia with BU is rare [ 2 , 3 ]. Patients may present with pelvic pain due to hematometra and retrograde menstruation from a non-communicating uterine horn [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…The occurrence of cervical atresia with BU is rare [ 2 , 3 ]. Patients may present with pelvic pain due to hematometra and retrograde menstruation from a non-communicating uterine horn [ 2 ]. Treatment options are controversial and include hysterectomy or utero-vaginal canalization with the principal goal of relieving the symptoms and preserving fertility [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

A case report of bicornis bicollis uterus with unilateral cervical atresia: an unusual aetiology of chronic debilitating pelvic pain in a Cameroonian teenager

et al. 2017

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BackgroundCongenital uterine anomalies like bicornis or bicornuate uterus are relatively rare in sub-Saharan Africa. They are associated with an increased rate of spontaneous abortion, preterm delivery, and infertility. The occurrence of bicornis bicollis uterus with unilateral cervical atresia is exceptional and its management is controversial. We hereby report a rare cause of chronic pelvic pain in a Cameroonian teenager due to unilateral obstructive hematometra and hematosalpinx in the non-communicating horn of a bicornis bicollis uterus.Case presentationA 13-year-old premenarchal non-virgin female presented with chronic and severe cyclical crampy pelvic pain. On clinical examination, she had a perforated hymen, a single vagina, and one uterine cervix. A two-dimensional pelvic ultrasonography revealed hematometra but missed out the underlying anomaly. Failure to drain the hematometra by serial cervical dilatations prompted an exploratory laparotomy which revealed: bicornis bicollis uterus with a right rudimentary uterine horn communicating with the vagina and a left non-communicating uterine horn distended by hematometra due to a homolateral cervical atresia. She underwent utero-vaginal canalization and a left hemi-hysterotomy with drainage of the hematometra. The postoperative period was uneventful. Regular cyclic menses occurred thereafter beginning at the first postoperative month. She had complete resolution of symptoms without recurrence after six months.ConclusionDue to the risk of compromised fertility from bicornis uterus and the diagnostic challenges akin to resource-limited settings, we highlight the need for a high index of suspicion by healthcare providers when faced with chronic pelvic pain in premenarchal adolescents.

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“…Haematometra, also known as haematocolpos, is a common gynaecological condition among postpubertal female adolescence caused by congenital abnormality of vaginal canal [1]; however, any other cause involved vaginal canal regardless of the specific age can be a predisposing factor [2]. The causes of haematometra might be due to either congenital abnormality of the vaginal canal or acquired factor [3, 4].…”

Section: Introductionmentioning

confidence: 99%

A Case of Haematometra Secondary to Cervical Stenosis after Vesicle Vaginal Fistula Surgical Repair

Lilungulu

Mwibea²,

Nassoro³

et al. 2017

Case Reports in Obstetrics and Gynecology

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Background. Haematometra is a rare postobstetrics fistula surgical repair outcome complication; however the condition can be misinterpreted especially in limited resource areas that lack routine ultrasound guidance and with a slowly progressed increase in size of abdomen accompanied with a history of amenorrhoea together with a history of having unprotective sexual intercourse which may increase the possibility of being controversial to full-term gravid uterus. The causes of haematometra might be either due to congenital abnormality of the vaginal canal or acquired iatrogenically. However, any other cause that involved vaginal canal can be a predisposing factor of haematometra. We present a case of a 32-year-old female patient, who had obstetric fistula which was successfully repaired over the past two years. She presented with one-year-and-two-month history of an amenorrhoea that was progressive accompanied with distended abdomen to the extent of looking typically as the gravid uterus. Explorative laparotomy was performed successfully and surgical incision managed by hysterotomy and salpingotomy, whereby approximately ten liters of serosanguinous blood fluid mixed with blood clots was completely suctioned. Despite being a rare condition after vesicle vaginal fistula repair complication outcome, haematometra remains to be relatively common gynaecological condition among female adolescence during postpubertal period.

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Massive Hematometra due to Congenital Cervicovaginal Agenesis in an Adolescent Girl Treated by Hysterectomy: A Case Report

Cited by 10 publications

References 10 publications

Cryptomenorrhea Secondary to Past Childhood Pelvic Trauma in Young Adolescent Girls: Case Series

Cryptomenorrhea Secondary to Past Childhood Pelvic Trauma in Young Adolescent Girls: Case Series

A case report of bicornis bicollis uterus with unilateral cervical atresia: an unusual aetiology of chronic debilitating pelvic pain in a Cameroonian teenager

A Case of Haematometra Secondary to Cervical Stenosis after Vesicle Vaginal Fistula Surgical Repair

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