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Hysterectomy for hematometra in a 15‐year‐old mentally handicapped girl with congenital cervicovaginal agenesis and concomitant ovarian adenoma
Author(s) -
Rana Ashma,
Gurung Geeta,
Begum Syeda H.,
Adhikari Shilu,
Neupane Bhanu B.
Publication year - 2008
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2007.00726.x
Subject(s) - medicine , girl , concomitant , hysterectomy , agenesis , pelvic pain , atresia , abdominal pain , gynecology , surgery , psychology , developmental psychology
Abstract We report a case of hematometra and bilateral hematosalphinx in a 15‐year‐old mentally handicapped adolescent girl, complicated by vaginal agenesis over cervical atresia in the presence of an ovarian adenoma. The case was managed by abdominal hysterectomy and bilateral salphingectomy of the hematosalphinx, which had formed a tubo‐ovarian mass. One ovary was preserved. This case also considers the management of the mentally handicapped patient unable to comprehend pain arising from cryptomenorrhea.