Santosh University Journal of Health Sciences

Imperforate hymen presenting with massive hematocolpos, hematometra and acute urinary retention in a teenage girl: a case report

Full Text PDF

Article Type : Case Report

Author Details: Amita Sharma, Alpana Agrawal, Neelima Agarwal, Manisha Gupta

Volume : 2

Issue : 2

Online ISSN : 2455-1732

Print ISSN :

Article First Page : 130

Article End Page : 131

Abstract

Background: Imperforate hymen is relatively rare but it is the most frequently encountered obstructive anomaly of the female lower genital tract. The clinical presentation vary significantly from patient to patient depending on the age at diagnosis but in most cases the diagnosis is missed in early childhood and therefore the diagnosis is made after puberty when the patient present with haematocolpos, heamatometra or both.
Case Report: Here we present a case of 15 years old girl with imperforate hymen and presented with history of lower abdominal pain and distension associated with acute urinary retention. She was treated by hymenotomy and improved dramatically and was discharge 6th day post operatively.
Conclusion: Clinicians should have high index of suspicion of imperforate hymen when assessing a case of adolescent girls particularly those who have not started having their menses in their teens and present with acute urinary retention so that their external genitalia are carefully examined to exclude the possibility of imperforate hymen as a cause of acute urinary retention due to the haematocolpos.

Keywords: Imperforate hymen; Hematocolpos; Hematometra; Hymenotomy

Doi No:-10.18231