Open AccessSonographic presentation acute hematometra and massive hematocolpos in a pubertal girl: A case report
Author(s) -
Adam Moyosore Afodun,
Victor Okoliko Ukwenya,
Khadijah Kofoworola Quadri,
Raymond Joseph Malinga,
Octovius Ahimbisibwe,
Julius Wandabwa
Publication year - 2020
Publication title -
journal of biomedical sciences
Language(s) - English
Resource type - Journals
ISSN - 2382-5545
DOI - 10.3126/jbs.v7i2.33999
Subject(s) - medicine , hymen , physical examination , surgery , virginity test , pelvic pain , urinary retention , presentation (obstetrics) , pelvic examination , menarche , girl , vagina , gynecology , psychology , developmental psychology , political science , law
Background: Imperforate hymen is an uncommon obstructive congenital anomaly of the female external reproductive channel due to lack of canalization (lower) vaginal plate between the vaginal and urogenital sinus; with a prevalence rate of less < 0.1%. Hematocolpos / imperforate hymen with heamatometra often presents as a pelvic mass that compresses the urinary bladder causing acute urine retention and pain.
Case presentation: A 14-year-old presented with lower abdominal pain for 5 months. Patient physical examination revealed normal secondary sexual characteristics with a thickened than normal hymen. She presented with delayed menarche; a physician earlier prescribed analgesic and anthelmintic medication for pain management. After conservative hymenotomy about 360ml of dark-tan haem (blood) was drained in few minutes. Postoperative recovery was uneventful; normal menstruation occurred after 4 weeks.
Conclusion: Diagnosis through physical examination and ultrasound requires vigilance and a high degree of suspicion; virginity sparing is a viable treatment option due to social reasons and religious beliefs.