పీడియాట్రిక్స్ & థెరప్యూటిక్స్
అందరికి ప్రవేశం

నైరూప్య

Hematocolpos-Incidence and Symptoms in Children: A Case Report

Boshra Nasser*, Michael Jerdev, Haia Nasser, Wael Nasser

The imperforate hymen is one of the most frequent malformations of the female genital tract. The clinical presentation varies from the asymptomatic form to symptoms caused by the obstructive effect of the hematocolpometra such as primary amenorrhea, abdominal and lumbar pain, constipation, dysuria and urinary retention. We report the case of an adolescent whose only symptoms were acute urinary retention associated with severe pelvic pain. In the presence of symptoms such as abdominal and cycliclumbar pain, pelvic swelling, urinary retention or constipation in a premenarchal adolescent with a discrepant tanner stage pubertal development, the diagnosis of imperforate hymen should be considered. The external genitals were inspected, showing an imperforate, bulging and translucent hymen. Bladder catheterization was performed and 1300 ml urine of sui generis characteristics was drained, with immediate symptomatic relief. On ultrasound, the vagina was distended byanechoic content, which was also filling the whole uterine cavity corresponding to bulky hematocolpos and hematometra. The findings were verified by a gynecologist after testing with anesthesia and hematocolpos was diagnosed. This is a case report of lower abdominal pain as a result of an imperforate hymen causing haematocolpos.