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A Rare Case of Massive Hematometra with a Tubo-ovarian Abscess in a 16-year-old Female.
Cureus 2019; 11(6):e4845C

Abstract

Imperforate hymen is a congenital defect of the lower genital tract and specifically the vagina. The examination of a neonatal can be quite helpful to avoid a multitude of complications in puberty like hematocolpos and tubo-ovarian abscess. We present the case of a 16-year-old who presented to the emergency department with fever (37.9° C), which was progressive the last two days, swollen abdomen, and pain in the lower abdomen. She also had a one-year history of cyclic abdominal pain. The patient had primary amenorrhea, the secondary sexual characteristics were normal for her age (Tanner III), and there was no family history of primary amenorrhea. The physical and ultrasound examination revealed an imperforate and bulging vaginal membrane and a multilocular adnexal mass, respectively. Every doctor should suspect this medical condition when there is a triad of symptoms like cyclic lower abdominal pain, primary amenorrhea, and swollen abdomen. Early diagnosis of an imperforate hymen can prevent serious complications for young patients.

Authors+Show Affiliations

Obstetrics and Gynecology, Democritus University of Thrace, Alexandroupolis, GRC.Obstetrics and Gynecology, National and Kapodistrian University of Athens, Athens, GRC.Obstetrics and Gynecology, National and Kapodistrian University of Athens, Athens, GRC.Obstetrics and Gynecology, National and Kapodistrian University of Athens, Athens, GRC.Obstetrics and Gynecology, Democritus University of Thrace, Alexandroupolis, GRC.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

31410328

Citation

Tsatsaris, Georgios, et al. "A Rare Case of Massive Hematometra With a Tubo-ovarian Abscess in a 16-year-old Female." Cureus, vol. 11, no. 6, 2019, pp. e4845.
Tsatsaris G, Fasoulakis Z, Papapanagiotou I, et al. A Rare Case of Massive Hematometra with a Tubo-ovarian Abscess in a 16-year-old Female. Cureus. 2019;11(6):e4845.
Tsatsaris, G., Fasoulakis, Z., Papapanagiotou, I., Theodora, M., & Kontomanolis, E. N. (2019). A Rare Case of Massive Hematometra with a Tubo-ovarian Abscess in a 16-year-old Female. Cureus, 11(6), pp. e4845. doi:10.7759/cureus.4845.
Tsatsaris G, et al. A Rare Case of Massive Hematometra With a Tubo-ovarian Abscess in a 16-year-old Female. Cureus. 2019 Jun 6;11(6):e4845. PubMed PMID: 31410328.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Rare Case of Massive Hematometra with a Tubo-ovarian Abscess in a 16-year-old Female. AU - Tsatsaris,Georgios, AU - Fasoulakis,Zacharias, AU - Papapanagiotou,Ioannis, AU - Theodora,Marianna, AU - Kontomanolis,Emmanuel N, Y1 - 2019/06/06/ PY - 2019/8/15/entrez PY - 2019/8/15/pubmed PY - 2019/8/15/medline KW - hematometra KW - hymenectomy KW - imperforate hymen KW - tubo-ovarian abscess SP - e4845 EP - e4845 JF - Cureus JO - Cureus VL - 11 IS - 6 N2 - Imperforate hymen is a congenital defect of the lower genital tract and specifically the vagina. The examination of a neonatal can be quite helpful to avoid a multitude of complications in puberty like hematocolpos and tubo-ovarian abscess. We present the case of a 16-year-old who presented to the emergency department with fever (37.9° C), which was progressive the last two days, swollen abdomen, and pain in the lower abdomen. She also had a one-year history of cyclic abdominal pain. The patient had primary amenorrhea, the secondary sexual characteristics were normal for her age (Tanner III), and there was no family history of primary amenorrhea. The physical and ultrasound examination revealed an imperforate and bulging vaginal membrane and a multilocular adnexal mass, respectively. Every doctor should suspect this medical condition when there is a triad of symptoms like cyclic lower abdominal pain, primary amenorrhea, and swollen abdomen. Early diagnosis of an imperforate hymen can prevent serious complications for young patients. SN - 2168-8184 UR - https://www.unboundmedicine.com/medline/citation/31410328/A_Rare_Case_of_Massive_Hematometra_with_a_Tubo-ovarian_Abscess_in_a_16-year-old_Female L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/31410328/ DB - PRIME DP - Unbound Medicine ER -