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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.

Titel:	Unique Case of Imperforate Hymen.
Autor/in / Beteiligte Person:	Coppola, L
Link:	Zum Volltext
Zeitschrift:	Journal of pediatric and adolescent gynecology, Jg. 29 (2016-02-01), Heft 1, S. e1
Veröffentlichung:	<2001->: New York : Elsevier Science ; <i>Original Publication</i>: Philadelphia, PA : Chapman & Hall, 1996-<May 1998>, 2016
Medientyp:	academicJournal
ISSN:	1873-4332 (electronic)
DOI:	10.1016/j.jpag.2015.07.004
Schlagwort:	Adolescent Amenorrhea etiology Congenital Abnormalities Dysmenorrhea etiology Female Fistula etiology Hematometra diagnostic imaging Hematometra surgery Humans Hymen diagnostic imaging Hymen surgery Leg Menstruation Disturbances diagnostic imaging Menstruation Disturbances surgery Musculoskeletal Pain etiology Treatment Outcome Ultrasonography Urinary Retention etiology Vaginal Diseases diagnostic imaging Vaginal Diseases surgery Vulvar Diseases etiology Hematometra complications Hymen abnormalities Menstruation Disturbances complications Vaginal Diseases complications
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Case Reports; Journal Article Language: English [J Pediatr Adolesc Gynecol] 2016 Feb; Vol. 29 (1), pp. e1-3. <i>Date of Electronic Publication: </i>2015 Jul 26. MeSH Terms: Hematometra / complications ; Hymen / abnormalities ; Menstruation Disturbances / complications ; Vaginal Diseases / complications ; Adolescent ; Amenorrhea / etiology ; Congenital Abnormalities ; Dysmenorrhea / etiology ; Female ; Fistula / etiology ; Hematometra / diagnostic imaging ; Hematometra / surgery ; Humans ; Hymen / diagnostic imaging ; Hymen / surgery ; Leg ; Menstruation Disturbances / diagnostic imaging ; Menstruation Disturbances / surgery ; Musculoskeletal Pain / etiology ; Treatment Outcome ; Ultrasonography ; Urinary Retention / etiology ; Vaginal Diseases / diagnostic imaging ; Vaginal Diseases / surgery ; Vulvar Diseases / etiology Contributed Indexing: Keywords: Adolescent; Amenorrhea; Hematocolpometra; Imperforate hymen SCR Disease Name: Hymen, Imperforate Entry Date(s): Date Created: 20150729 Date Completed: 20160822 Latest Revision: 20201209 Update Code: 20231215

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Unique Case of Imperforate Hymen.