ABSTRACT
El 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.
The 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 confrm 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.
Subject(s)
Adolescent , Female , Humans , Abdominal Pain/etiology , Hematocolpos/complications , Hymen/abnormalities , Menstruation Disturbances/complicationsABSTRACT
El hematocolpos es una entidad que puede estar presente en adolescentes con amenorrea primaria que acuden con dolor pélvico cíclico, y al reconocerlos se palpa una masa en dicha región. En este trabajo se presenta un caso portador de síndrome de Rokitansky, con agenesia vaginal, que fue diagnosticado por los antecedentes personales de malformaciones asociadas (hipoplasia renal), manifestaciones clínicas propias del hematocolpos, examen ginecológico y estudios imagenológicos. Se decide tratamiento quirúrgico y posterior reconstrucción cérvico- vaginal. La paciente tuvo una evolución favorable
The hematocolpos is an entity that could be present in adolescents with amenorrhea came presenting with cyclic pelvic pain and in physical examination it is possible to palpate a mass in such region. In this paper authors present the case of a carrier of Rokitansky syndrome with vaginal agenesia diagnosed according the personal history of associated manifestations (renal hypoplasia), clinical manifestations typical of hematocolpos, gynecological examination and imaging studies. Authors decide to perform the surgical treatment and latter cervicovaginal posterior reconstruction. Patient had a favorable evolution
Subject(s)
Humans , Female , Child , Hematocolpos/complications , Vagina/abnormalities , VaginaABSTRACT
Hematometrocolpos drained abdominally at laparotomy done, with suspicion of an ovarian torsion in an adolescent with ipsilateral renal agenesis, was eventually rediscovered to have in coexistent uterine didelphys in a 25 year P3+0 at the time repeat caesrean for breech in the event of third parturition, complicated by partum hemorrhage as in all her previous delivery (first vaginal delivery and retained placenta, second caesarean for obstructed labor by non pregnant half of didelphic uterus). This illustrates how simultaneous occurrence of hematometrocolpos can go unnoticed although there was every reason for this condition not to go unrecognized for the simple fact ofhemivaginal obstruction and hematometra with ipsilateral renal agenesis (on the left side) unaffecting the consecutive pregnancy in the other uterus.
Subject(s)
Female , Hematocolpos/complications , Hematometra/complications , Humans , Pregnancy , Pregnancy Complications/etiology , Uterus/abnormalitiesABSTRACT
Two cases of haematocolpos in adolescent girls due to imperforate hymen are reported. Both of them presented with lower abdominal pain and urinary retention. Hymenotomy was performed in both the cases. The condition is discussed with brief review of literature.