Laparoscopically assisted treatment of imperforate hymen in a patient with ventriculo-peritoneal (VP) shunt for congenital hydrocephalous: A case report

We report an unusual case where a two-month infant developed a simultaneous and spontaneous pneumocephalus and gross pneumoperitoneum along with progressive surgical emphysema after VP shunt procedure.

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Retenção Urinária Como Manifestação de Hematocolpos

Acta Médica Portuguesa ◽

10.20344/amp.11912 ◽

2020 ◽

Vol 33 (13) ◽

Author(s):

Íris Santos Silva ◽

Renata Martello ◽

António Mendes ◽

Albertino Chaves

Keyword(s):

Emergency Department ◽

Abdominal Pain ◽

Case Report ◽

Urinary Retention ◽

Genital Tract ◽

Rare Condition ◽

Tanner Stage ◽

Imperforate Hymen ◽

Uncommon Condition ◽

Rare Symptom

Hematocolpos is an obstruction of the menstrual flow due to an anomaly of the genital tract, with imperforate hymen being the most common one. It is an uncommon condition, with a prevalence of 1:1000 – 1:16 000. It is usually an asymptomatic condition until the onset of menarche, when there is accumulation of blood in the vagina (hematocolpos) or in the uterus (hematometra). A rare symptom of hematocolpos could be urinary retention. Our case report is about a 12-year-old girl, with no menarche and Tanner stage M4/P5, who was admitted to our emergency department with abdominal pain and urinary retention. A brief review of this rare condition is presented, in order to remind clinicians about its existence, so that it can be diagnosed and treated as quickly as possible.

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Case report of enterocutaneous fistula due to non-functioning ventriculoperitoneal shunt

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa378 ◽

2020 ◽

Vol 2020 (9) ◽

Author(s):

Jha Prabhat ◽

Joshi Bijendra Dhoj

Keyword(s):

Case Report ◽

Bowel Resection ◽

Rare Complication ◽

Enterocutaneous Fistula ◽

Bowel Perforation ◽

Young Male ◽

Shunt Patient ◽

Vp Shunt ◽

Abdominal Complications ◽

Resection And Anastomosis

Abstract Abdominal complications after placement of ventriculoperitoneal (VP) shunt are commonly reported but asymptomatic bowel perforation with enterocutaneous fistula (ECF) is rare. This case describes a young male patient who underwent VP shunt for hydrocephalus 10 years ago. He presented with ECF due to the non-functioning abdominal end of the shunt. Patient was managed with laparotomy with fistulectomy with bowel resection and anastomosis. ECF is a rare complication of VP shunt.

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Post V-P shunt surgical site EDH an uncommon complication: case report

Romanian Neurosurgery ◽

10.1515/romneu-2017-0043 ◽

2017 ◽

Vol 31 (2) ◽

pp. 253-256

Author(s):

Manish Garg ◽

Deepashu Sachdeva ◽

Ketan Patel ◽

Anita Jagetia ◽

A. K. Srivastava

Keyword(s):

Case Report ◽

Ct Scan ◽

Rare Complication ◽

Shunt Infection ◽

Shunt Surgery ◽

Vp Shunt ◽

Post Surgery ◽

Shunt Migration ◽

Uncommon Complication

Abstract ventriculoparitoneal shunt is well established modality of treatment for hydrocephalous. Complication of v-p shunt are also mentioned in literature like shunt infection shunt migration etc [8]. Here we are describing a rare complication of vp shunt which barely mentioned in literature. A 22 yr male admitted with complain of headache & vomiting patient was diagnosed to have tubercular meningities with hydrocephalous. Patient planned for ventriculoparietoneal shunt surgery and vp shunt was done. On 3rd post-surgery day patient develop weakness in Left side of body. Urgent ncct head done which showed EDH at surgical site. Immediate craniotomy and evacuation of hematoma was done patient improved and discharged. Thus we are discussing the importance of meticulous surgery for v-p shunt, post op ct scan and treatment.

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Abdominal swelling and obstructive uropathy due to hematometrocolpos secondary to imperforate hymen: a case report

Pan African Medical Journal ◽

10.11604/pamj.2022.41.18.32582 ◽

2022 ◽

Vol 41 ◽

Author(s):

Yashvinder Kumar ◽

Priyanka Yadav ◽

Ankit Agarwal

Keyword(s):

Case Report ◽

Obstructive Uropathy ◽

Imperforate Hymen

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Neonatally Diagnosed Imperforate Hymen: Hymen Saving Surgery

Journal of King Abdulaziz University-Medical Sciences ◽

10.4197/med.24-3.6 ◽

2017 ◽

Vol 24 (3) ◽

pp. 55-59

Author(s):

Maram A. Enani ◽

Wejdan O. Ba-Amer ◽

Alfaf S. Aljohani ◽

Shahad A. Aljohani ◽

Noor A. Aljohani ◽

...

Keyword(s):

Case Report ◽

Early Diagnosis ◽

Genital Tract ◽

Neonatal Period ◽

Female Genital Tract ◽

Late Diagnosis ◽

Diagnosis And Treatment ◽

Early Management ◽

Imperforate Hymen ◽

Female Genital

Imperforate hymen is the most common obstructive anomalies of the female genital tract. It is usually an isolated anomaly but can be rarely syndromic. It can be asymptomatic until puberty, but the diagnosis as early as neonatal period has been reported and as with our neonate with hematocolpos. The aim of this case report is to present the early diagnosis and treatment of a female neonate with imperforate hymen taking into consideration the religious and traditional value of preservation of virginity in our community, and to stress the importance of careful post birth examination of the neonate and early management to avoid complications of late diagnosis.

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Case Report: A case report of dry tap during ventriculostomy

F1000Research ◽

10.12688/f1000research.6750.1 ◽

2015 ◽

Vol 4 ◽

pp. 188

Author(s):

Sunil Munakomi ◽

Binod Bhattarai

Keyword(s):

Case Report ◽

External Ventricular Drain ◽

Foramen Of Monro ◽

Shunt Insertion ◽

Gradual Improvement ◽

Vp Shunt ◽

Tension Pneumocephalus ◽

Frontal Horn ◽

Increased Risk ◽

Ventricular Puncture

Pneumocephalus following ventriculoperitoneal (VP) shunt insertion is an exceptionally rare occurrence. We report such an event after attempting ventricular puncture (ventriculostomy) for VP shunt insertion and then discuss the management of the same. Dry tap can lead to multiple attempts for ventriculostomy with the associated added risks of complications, as well as complicating the subsequent management. In addition, there is an increased risk of tension pneumocephalus, seizure and shunt failure due to a blockage by air bubbles. Our patient presented with features of raised intracranial pressure two months following craniotomy and evacuation of traumatic subdural hematoma. External ventricular puncture revealed egress of CSF under pressure. Upon attempting VP shunting for post-traumatic hydrocephalus, we experienced dry tap during ventricular puncture that complicated further management. We placed the proximal shunt in the presumed location of the foramen of Monro of ipsilateral frontal horn of lateral ventricle and did not remove the external ventricular drain. Post-operative CT scan revealed pneumoventriculi as the cause for the dry tap during ventricular puncture. Patient was managed with 100% oxygen. He showed gradual improvement and was later discharged. This case shows that variations in the procedure, including head down positioning, adequate cruciate dural incision prior to cortex puncture, and avoiding excessive egress of CSF can help to prevent such complications.

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A Rare Case Report of Microperforate Hymen with Difficulty in Penetration

The Journal of South Asian Federation of Menopause Societies ◽

10.5005/jp-journals-10032-1052 ◽

2014 ◽

Vol 2 (2) ◽

pp. 97-98

Author(s):

Vijay Kumar ◽

Kusuma Vijay Kumar ◽

KH Krishnamurthy

Keyword(s):

Case Report ◽

Surgical Treatment ◽

South Asian ◽

Rare Case ◽

Imperforate Hymen ◽

Rare Case Report

ABSTRACT A rare case of 26-year-old women with microperforate hymen reported a difficulty in intercourse. Hymenectomy is the surgical treatment for imperforate hymen and microperforate hymen. A knife or electrocautery can be used to excise hymenal tissue. How to cite this article Kumar V, Kumar KV, Krishnamurthy KH, Kumar R. A Rare Case Report of Microperforate Hymen with Difficulty in Penetration. J South Asian Feder Menopause Soc 2014;2(2):97-98.

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