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Full text. Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (M), or click on a page. Ind Med Gaz. Jan;77(1) A Case of Hymen Imperforata. Paladhi MN(1). Author information: (1)Lohaghat Dispensary, Almora, Himalayas. PMCID. Perineal examination showed a bluish bulging hymen. Transabdominal ultrasonography revealed a dense mass in the pelvis measuring about.

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Failure of the recanalisation process of the distal end of the vagina. Support Radiopaedia impertorata see fewer ads. Acute urinary retention in two patients with imperforate hymen. A similar condition, cribriform hymenis diagnosed when the hymen contains many minute openings. Affected newborns may present with acute urinary retention.

A Case of Hymen Imperforata.

Immediately after the operation the size of the abdomen had regained normal proportions fig 1lower image. An imperforate hymen is most often diagnosed in adolescent girls after hymfn age of menarche with otherwise normal development.

Congenital disorders of female genital organs Anatomical pathology Pediatric gynecology. J Pediatr Orthop ; Scand J Urol Nephrol ; Before surgical intervention in adolescents, symptoms can be relieved by the combined oral contraceptive imperforqta taken continuously to suppress the menstrual cycle or NSAIDs to relieve pain.

In a retrospective study of the long term results of surgical correction of imperforate hymen, nine of 15 patients had an irregular menstrual cycle and six of 15 patients had dysmenorrhea over a follow-up of 8. It is important to be aware of this while examining a female adolescent presenting with cyclical abdominal pain and primary amenorrhea.


Imperforate hymen | Radiology Reference Article |

Can it be treated without damaging the hymenal omperforata Imperforate hymen with bilateral hydronephrosis: Open in a separate window. A year-old girl presented with primary amenorrhea and had had cyclical abdominal pain for almost a year. An unusual case of urinary retention due to imperforate hymen.

Ann Emerg Med ; Hematocolpos as a cause of back pain in premenarchal adolescents. Arch Gynecol Obstet ; Late discovery of an imperforate hymen may lead to pain, infections, hydronephrosis and endometriosis with subfertility as a possible consequence. Edit imperofrata Share article View revision history. The aim of this communication is to increase awareness hyemn imperforate hymen among clinicians examining adolescent girls with lower abdominal pain.

No other gross external abnormalities of the external genitalia were observed. Pan African Medical Journal. Treatment of imperforate hymen by application of Foley catheter.

What Is an Imperforate Hymen?

Postoperative recovery was normal without any pain. UrogenitalPaediatricsGynaecology. The diagnosis of an imperforate hymen is usually made based purely on the physical exam, although if necessary the diagnosis can be confirmed by immperforata, transperineal or transrectal ultrasound.

The most common symptoms of an imperforate hymen are cyclical abdominal pain and urinary retention, usually presenting between the ages of 13 and 15 years when menarche occurs.

No other members of her family had similar or other physical complaints.


She was asymptomatic until a year previously. Sakalkale R, Samarakkody U. Endometriosis and mullerian anomalies. Treatment of haematocolpos or haematometra due to an imperforate hymen is to make cruciate incision in the hymen which allows the accumulated blood to drain away.

It is treated by surgical incision of the hymen.

An imperforate hymen is formed during imperforats development when the sinovaginal bulbs fail to canalize with the rest of the vagina. An imperforate hymen is usually visible on vaginal inspection as a bulging blue membrane. Please review our privacy policy.

Parazzini F, Cecchetti G. Signal changes follow subacute bleeding episodes and the blood products in haematometrocolpos:.

She was 13 years old and had not yet had a menstrual period, but did have pubic hair and breast buds, confirming the onset of puberty.

An imperforate hymen hyymen in 0.

Imperforate hymen

Primary amenorrhea with cyclic lower abdominal pain during menarche age. From Wikipedia, the free encyclopedia.

Br J Urol ; J Chin Med Assoc ; Usual initial imaging modality of diagnosis, it shows a distended fluid-filled vagina haematocolpos and uterus haematometra with internal echoes representing hemorrhage of various ages.

Obstet Gynecol ; About Blog Go ad-free. Read it at Google Books impfrforata Find it at Amazon. Vaginal atresia and a imlerforata vaginal septum require differentiation.