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Virginity-sparing management of hematocolpos with imperforate hymen: case report and literature review.
SAGE Open Med Case Rep. 2019; 7:2050313X19846765.SO

Abstract

Imperforate hymen results from failure of the endoderm of the urogenital sinus to completely canalize and has an incidence of 0.01% to 0.05%. This sometimes presents as a pelvic mass that compresses the bladder causing acute urinary retention. A 13-year-old girl was referred to our department with a history of primary amenorrhea, cyclic lower abdominal pain, abdominal-pelvic mass, constipation and acute urinary retention. She had an ultrasonography misdiagnosis of a huge ovarian mass before referral to our unit. On examination, the vagina was bulging and compressing the rectum. Repeat abdominal ultrasonography confirmed the diagnosis of hematometrocolpos. She underwent X-shaped hymenotomy with a favorable outcome. Diagnosis of imperforate hymen requires high suspicion index. Virginity-sparing surgery constitutes a good treatment option for cultural and religious reasons.

Authors+Show Affiliations

Faculty of Health Sciences, University of Buea, Buea, Cameroon.Douala General Hospital, Douala, Cameroon.Douala General Hospital, Douala, Cameroon.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

31105948

Citation

Egbe, Thomas Obinchemti, et al. "Virginity-sparing Management of Hematocolpos With Imperforate Hymen: Case Report and Literature Review." SAGE Open Medical Case Reports, vol. 7, 2019, p. 2050313X19846765.
Egbe TO, Kobenge FM, Wankie EM. Virginity-sparing management of hematocolpos with imperforate hymen: case report and literature review. SAGE Open Med Case Rep. 2019;7:2050313X19846765.
Egbe, T. O., Kobenge, F. M., & Wankie, E. M. (2019). Virginity-sparing management of hematocolpos with imperforate hymen: case report and literature review. SAGE Open Medical Case Reports, 7, 2050313X19846765. https://doi.org/10.1177/2050313X19846765
Egbe TO, Kobenge FM, Wankie EM. Virginity-sparing Management of Hematocolpos With Imperforate Hymen: Case Report and Literature Review. SAGE Open Med Case Rep. 2019;7:2050313X19846765. PubMed PMID: 31105948.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Virginity-sparing management of hematocolpos with imperforate hymen: case report and literature review. AU - Egbe,Thomas Obinchemti, AU - Kobenge,Fidelia Mbi, AU - Wankie,Emmanuella Manka'a, Y1 - 2019/05/02/ PY - 2018/12/27/received PY - 2019/04/03/accepted PY - 2019/5/21/entrez PY - 2019/5/21/pubmed PY - 2019/5/21/medline KW - Imperforate hymen KW - adolescence KW - hematometrocolpos KW - pelvic mass KW - urinary retention SP - 2050313X19846765 EP - 2050313X19846765 JF - SAGE open medical case reports JO - SAGE Open Med Case Rep VL - 7 N2 - Imperforate hymen results from failure of the endoderm of the urogenital sinus to completely canalize and has an incidence of 0.01% to 0.05%. This sometimes presents as a pelvic mass that compresses the bladder causing acute urinary retention. A 13-year-old girl was referred to our department with a history of primary amenorrhea, cyclic lower abdominal pain, abdominal-pelvic mass, constipation and acute urinary retention. She had an ultrasonography misdiagnosis of a huge ovarian mass before referral to our unit. On examination, the vagina was bulging and compressing the rectum. Repeat abdominal ultrasonography confirmed the diagnosis of hematometrocolpos. She underwent X-shaped hymenotomy with a favorable outcome. Diagnosis of imperforate hymen requires high suspicion index. Virginity-sparing surgery constitutes a good treatment option for cultural and religious reasons. SN - 2050-313X UR - https://www.unboundmedicine.com/medline/citation/31105948/Virginity_sparing_management_of_hematocolpos_with_imperforate_hymen:_case_report_and_literature_review_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/31105948/ DB - PRIME DP - Unbound Medicine ER -
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