Full text. Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (M), or click on a page. Ind Med Gaz. Jan;77(1) A Case of Hymen Imperforata. Paladhi MN(1). Author information: (1)Lohaghat Dispensary, Almora, Himalayas. PMCID. Perineal examination showed a bluish bulging hymen. Transabdominal ultrasonography revealed a dense mass in the pelvis measuring about.

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A year-old girl was admitted with a history of lower abdominal pain.

Imperforate hymen – Wikipedia

J Emerg Med ; Because the vaginal outflow is obstructed by the non-perforated hymen, menstrual blood accumulates in the vagina haematocolpos and the uterus haematometra. Early diagnosis of an imperforate hymen is important, since it can lead to serious complications such as infections, hydronephrosis, kidney failure, endometriosis and subfertility.

Consider an imperforate hymen if there is a discrepancy between the Tanner stage and menarcheal status. Obstet Gynecol ; Hematocolpometra presenting as urinary retention.

The pain had become more severe during the previous 2 months and the size of her abdomen had increased over the past few months. If untreated or unrecognized before puberty, an imperforate hymen can lead to peritonitis or endometriosis due to retrograde bleeding. Pediatr Surg Int ; Published online May At examination we observed a painful mass in the lower abdomen and normal secondary sex characteristics. Treatment of imperforate hymen by application of Foley catheter. Signal changes follow subacute bleeding episodes and the blood products in haematometrocolpos:.


Vaginal septum Vaginal hypoplasia Imperforate hymen Vaginal adenosis Cloacal exstrophy Vaginal atresia. An imperforate hymen is formed during fetal development when the sinovaginal bulbs fail to canalize with the rest of the vagina. Tuncer R, Tunali N.

A year-old girl presented with primary amenorrhea and had had cyclical abdominal pain i,perforata almost a year. The medical history was unremarkable. Vaginal atresia and a transverse vaginal septum require differentiation.

Early detection of imperforate hymen prevents morbidity from delays in diagnosis. Br J Urol ; Check for errors and try again. J Accid Emerg Med ; We diagnosed an imperforate hymen with hgmen and haematometra.

Retrieved May 9, The hymen is called imperforate if there is no perforation of this membrane. Imperforate hymen is a rare cause of abdominal pain in female adolescents. Imperforate hymen occurs due to a failure of recanalisation of this membranous vestige. Views Read Edit View history.

A similar condition, cribriform hymenis diagnosed when the hymen contains many minute openings. Both the ovaries were normal.


Imperforate hymen: a cause of abdominal pain in female adolescents

Ann Emerg Med ; We diagnosed an imperforate hymen with consequent accumulation of blood in the vagina and uterus haematocolpos and haematometra, respectively.

An unusual hmyen of urinary retention due to imperforate hymen.

An imperforate hymen is a congenital disorder where a hymen without an opening completely obstructs the vagina. A mobile, non-tender mass, arising from the pelvis to the belly button, was felt in the abdomen fig 1upper image.

Approximately ml of viscous, chocolate coloured blood and clots were drained fig 3. Imperforate hymen as a cause of bladder perforation and intestinal obstruction. Clitoromegaly Progestin-induced virilization Pseudohermaphroditism True hermaphroditism. Scand J Urol Humen ; Gynaecological examination reveals a bluish bulging hymen and generally an abdominal mass.

Parazzini F, Cecchetti G.