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Unique Case of Imperforate Hymen.
J Pediatr Adolesc Gynecol. 2016 Feb; 29(1):e1-3.JP

Abstract

BACKGROUND

Imperforate hymen typically presents in adolescence with pain, hematocolpometra and primary amenorrhea. This case documents a previously unreported etiology for an atypical presentation with a history of recent menstruation.

CASE

A female adolescent presented with symptoms of urinary retention and leg pain. She reported a history of irregular, painful menses. Clinical examination revealed a pelvic mass and imperforate hymen. Sonography was consistent with hematocolpometra. Before a planned hymenectomy, the patient began to pass dark blood through a fistulous opening in her vulva. Hymenectomy resulted in complete resolution of the pain and hematocolpometra.

SUMMARY AND CONCLUSION

Identification of the fistulous tract explained the patient's history of menstrual bleeding despite an imperforate hymen. Spontaneous rupture of hematocolpometra through a fistulous tract to the vulva is a previously unreported atypical presentation of imperforate hymen in a "menstruating" adolescent with pain and a pelvic mass.

Authors+Show Affiliations

Baptist Medical Centre, Nalerigu, Ghana. Electronic address: lcoppola@obgyn.arizona.edu.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

26216580

Citation

Coppola, Lynn. "Unique Case of Imperforate Hymen." Journal of Pediatric and Adolescent Gynecology, vol. 29, no. 1, 2016, pp. e1-3.
Coppola L. Unique Case of Imperforate Hymen. J Pediatr Adolesc Gynecol. 2016;29(1):e1-3.
Coppola, L. (2016). Unique Case of Imperforate Hymen. Journal of Pediatric and Adolescent Gynecology, 29(1), e1-3. https://doi.org/10.1016/j.jpag.2015.07.004
Coppola L. Unique Case of Imperforate Hymen. J Pediatr Adolesc Gynecol. 2016;29(1):e1-3. PubMed PMID: 26216580.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Unique Case of Imperforate Hymen. A1 - Coppola,Lynn, Y1 - 2015/07/26/ PY - 2015/05/01/received PY - 2015/07/13/revised PY - 2015/07/19/accepted PY - 2015/7/29/entrez PY - 2015/7/29/pubmed PY - 2016/8/23/medline KW - Adolescent KW - Amenorrhea KW - Hematocolpometra KW - Imperforate hymen SP - e1 EP - 3 JF - Journal of pediatric and adolescent gynecology JO - J Pediatr Adolesc Gynecol VL - 29 IS - 1 N2 - BACKGROUND: Imperforate hymen typically presents in adolescence with pain, hematocolpometra and primary amenorrhea. This case documents a previously unreported etiology for an atypical presentation with a history of recent menstruation. CASE: A female adolescent presented with symptoms of urinary retention and leg pain. She reported a history of irregular, painful menses. Clinical examination revealed a pelvic mass and imperforate hymen. Sonography was consistent with hematocolpometra. Before a planned hymenectomy, the patient began to pass dark blood through a fistulous opening in her vulva. Hymenectomy resulted in complete resolution of the pain and hematocolpometra. SUMMARY AND CONCLUSION: Identification of the fistulous tract explained the patient's history of menstrual bleeding despite an imperforate hymen. Spontaneous rupture of hematocolpometra through a fistulous tract to the vulva is a previously unreported atypical presentation of imperforate hymen in a "menstruating" adolescent with pain and a pelvic mass. SN - 1873-4332 UR - https://www.unboundmedicine.com/medline/citation/26216580/Unique_Case_of_Imperforate_Hymen_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1083-3188(15)00264-8 DB - PRIME DP - Unbound Medicine ER -