Imperforate Hymen with Hematocolpometra  

Oleh:

Poll, Ludger Wilhelm ; Flake, Peter

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 365 no. 02 (Jul. 2011), page 157.
Topik: Abdominal Pain
Fulltext: Hematocolpometra.pdf (61.16KB)

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2011.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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A 15-year-old premenarchal girl presented with a 4-day history of increasing abdominal pain. Her medical history was unremarkable, and she reported that she had never been sexually active. Physical examination revealed a palpable, nontender, nonpulsatile midline mass extending from the pelvis to the umbilicus. The patient declined a vaginal examination. Abdominal ultrasonography revealed a large pelvic mass of uncertain origin. The uterus could not be identified ultrasonographically. Computed tomographic images of the pelvis showed a hyperdense, nonenhancing, fluid-filled pelvic mass measuring 25 cm by 11 cm by 12 cm (Panel A, axial image, white arrows; Panel B, sagittal image, white arrows) that was causing substantial compression of the bladder (Panels A and B, black arrows). A tubular structure at the superior pole of the mass was identified as the uterus (Panel B, arrowhead). The patient was given a presumptive diagnosis of hematocolpometra (accumulation of menstrual blood in the vagina and uterus). Subsequent vaginal examination revealed a thickened imperforate hymen. After hymenotomy, two liters of coagulated blood drained from the vagina and uterus. The patient was discharged after 3 days without pain or vaginal bleeding.

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