Hematocolpos on imperforated hymen and acute urinary retention A rare disease About seven observations and literature reviews

Hymenal imperforation is a fairly rare malformation, and severe when ignored. Based on the literature data on this malformation, a retrospective study was conducted on 7 cases of haematocolpos on imperforated hymen, collected to the uro-visceral pediatric surgery departments, Children’s Hospital, Oujda-Rabat (MOROCCO), over a period from January 2011 to January 2019. It appears from this work that this anomaly is the prerogative of patients in the peripubertal period. The clinical signs is dominated by abdominal and pelvic pain. The existence of an abdominal-pelvic tumefaction in all our patients and by urinary complications such as acute urine retention in 3 of our 7 cases. The diagnosis is mainly clinical and is oriented by ultrasound. Hymene imperforation remains the most frequent etiology, it is found in our 7 patients, The surgical treatment is simple carried out on an incision of the obturating diaphragm, and a drainage of the collection.