scholarly journals Pelvic pain in young girls: not only dysmenorrhoea!

2018 ◽  
pp. bcr-2018-226041
Author(s):  
Vera Furtado Veiga ◽  
Barbara Ribeiro ◽  
Hermínia Afonso ◽  
Isabel Reis
Keyword(s):  
Abdominal Pain ◽  
Pelvic Pain ◽  
Urinary Symptoms ◽  
Imperforate Hymen ◽  
Retrograde Menstruation ◽  
Young Girls ◽  
Gynaecological Examination ◽  
Rare Malformation ◽  
Vaginal Distension

Imperforate hymen is the most frequent cause of haematocolpos, although it is a rare malformation (1:2000). We present two cases of young girls with cyclic abdominal pain and urinary symptoms. At gynaecological examination, they all presented imperforate hymen and ultrasound revealed significant vaginal distension. X-shaped hymenectomy was performed in all patients. The later the diagnosis of imperforate hymen, the higher the risk of complications like haematometra, haematosalpinx, haemoperitoneum and infections such as tubo-ovarian abscesses, peritonitis and endometriosis (retrograde menstruation theory).

Imperforate hymen mimicking acute appendicitis in an adolescent woman: a rare presentation

2021 ◽  
Vol 14 (3) ◽  
pp. e238547
Author(s):  
Victoria Rose Russell ◽  
Mohamed Ibrahim ◽  
Georgina Phillips ◽  
Tom Setchell ◽  
Sanjay Purkayastha
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Iliac Fossa ◽  
Female Genital Tract ◽  
Delayed Diagnosis ◽  
Rare Presentation ◽  
Left Iliac Fossa ◽  
Imperforate Hymen ◽  
Retrograde Menstruation ◽  
Low Incidence

Imperforate hymen is a rare congenital malformation of the female genital tract. The condition poses several diagnostic challenges owing to its low incidence and often atypical presentation. Classical symptoms include amenorrhoea and cyclical abdominal pain. Delayed diagnosis leads to potentially irreversible and lifechanging sequelae including infertility, endometriosis and renal failure. A premenarchal 13-year-old girl with a background of chronic constipation presented with symptoms mimicking acute appendicitis. The underlying cause was imperforate hymen and retrograde menstruation. The diagnosis was made during diagnostic laparoscopy. As with this patient, pre-existing symptoms are often troublesome long before the true diagnosis is made. This case report highlights the importance of recognising imperforate hymen as a potential cause of acute abdominal pain in premenarchal adolescent girls. The clinical picture may present as right or left iliac fossa pain. Early identification reduces the risk of adverse complications and avoids unnecessary and potentially harmful interventions.

scholarly journals Imperforate hymen: the importance of early diagnosis

2017 ◽  
Vol 6 (6) ◽  
pp. 2628
Author(s):  
Pedro Vieira Enes ◽  
Pedro Brandão ◽  
Paula Ramôa ◽  
Ana Torgal
Keyword(s):  
Abdominal Pain ◽  
Physical Examination ◽  
Clinical Presentation ◽  
External Genitalia ◽  
Imperforate Hymen ◽  
Gynecological Examination ◽  
Female Genital System ◽  
Common Clinical Presentation ◽  
Vaginal Distension ◽  
Female Genital

The imperforate hymen is one of the most common obstructive lesions of the female genital system, with a prevalence from 1: 1000 to 1: 10000. Anomalies of the hymen are due to incomplete degeneration of the hymen central portion. It can be diagnosed at physical examination from birth and treated surgically. The most common clinical presentation is cyclic pelvic abdominal pain, urinary retention and hematocolpos. 12-year-old girl, premenarche who appealed to the Emergency department with abdominal pain and bilateral lumbar irradiation, over 2 weeks of evolution. Physical examination showed abdominal tumefaction in the hypogastric region, painful to palpation and under tension. Gynecological examination revealed an imperforate hymen, protruding from the introitus. Rectal ultrasonography performed at the emergency room showed vaginal distension with a hypoechoic content of 16 cm, larger diameter. Surgical hymenectomy was performed as treatment. On the 58th postoperative day, the patient was asymptomatic.The authors present a clinical case of imperforate hymen diagnosed at menarche, an anomaly diagnosed increasingly early due to the earlier physical examination that involves observation of the external genitalia of the new-born and the pre-pubertal child.

Masturbation mimicking abdominal pain or seizures in young girls

1990 ◽  
Vol 116 (5) ◽  
pp. 810-814 ◽  
Author(s):  
David R. Fleisher ◽  
Andrea Morrison
Keyword(s):  
Abdominal Pain ◽  
Young Girls

PD9-02 TRANSGENIC MICE THAT SECRETE MCP-1 BY THE UROTHELIUM DEMONSTRATE BLADDER HYPERSENSITIVITY, PELVIC PAIN AND URINARY SYMPTOMS

2014 ◽  
Vol 191 (4S) ◽  
Author(s):  
Yi Luo ◽  
Liwei Liu ◽  
Xu Wang ◽  
Michael O'Donnell ◽  
Karl Kreder
Keyword(s):  
Transgenic Mice ◽  
Pelvic Pain ◽  
Urinary Symptoms

Temporal Relationships between Pain, Mood and Urinary Symptoms in Urological Chronic Pelvic Pain Syndrome: A MAPP Network Study

2021 ◽  
Author(s):  
Bruce D. Naliboff ◽  
Andrew D. Schrepf ◽  
Alisa J. Stephens-Shields ◽  
J. Quentin Clemens ◽  
Michael A. Pontari ◽  
...  
Keyword(s):  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Chronic Pelvic Pain Syndrome ◽  
Pain Syndrome ◽  
Urinary Symptoms ◽  
Pelvic Pain Syndrome ◽  
Temporal Relationships

Endometriosis

2019 ◽  
Author(s):  
Valerie A Flores ◽  
Hugh S Taylor
Keyword(s):  
Pelvic Pain ◽  
Treatment Options ◽  
Reproductive Age ◽  
Fertility Treatment ◽  
Future Research ◽  
Retrograde Menstruation ◽  
Reproductive Age Women ◽  
Aberrant Gene Expression ◽  
Aberrant Gene

Endometriosis is a chronic, gynecologic disease affecting 6 to 10% of reproductive age women. Pelvic pain, dyspareunia, and infertility are the most common symptoms of endometriosis that can have a significant impact on patients’ lives. Although the etiology remains largely unknown, the role of estrogens in the development and growth of endometriosis is well characterized. Medical and surgical therapies are the two cornerstones of endometriosis management. Following diagnosis of endometriosis, treatment options will be dependent on patient preference (ie, seeking pain relief versus fertility treatment). Future research aimed at targeting altered molecular pathways in patients with endometriosis will hopefully help mitigate the burden of this debilitating disease. This review contains 5 figures, 7 tables, and 75 references. Key Words: aberrant gene expression, altered immunity, endometriosis, infertility, medical and surgical therapy, pelvic pain, retrograde menstruation, stem cells

Patients with Pain During Pregnancy

2016 ◽  
Author(s):  
Charles J. Fox ◽  
Alan D. Kaye ◽  
Elyse Cornett ◽  
Katherine Stammen ◽  
Michael Franklin
Keyword(s):  
Abdominal Pain ◽  
Back Pain ◽  
Pregnant Women ◽  
Pelvic Pain ◽  
Joint Laxity ◽  
The Body ◽  
Healthy Pregnancy ◽  
Pain Analgesics ◽  
Chronic Severe Pain ◽  
Anxiety Depression

Most women experience some degree of pain during pregnancy. Back pain occurs in about half of all pregnant women, with pain typically in the low back due to the physiologic changes in the body that occur with pregnancy, such as weight gain, changed center of gravity, increased ligament and joint laxity, and altered posture. Pelvic pain, leg cramps, and abdominal pain are all common among pregnant women. Many women who have pain during pregnancy are reluctant to use analgesics due to concerns about what the medications may do to their unborn child. Because of this, it is hypothesized that many women are either undertreated for pain or do not receive any treatment. Chronic, severe pain that is ineffectively treated is associated with hypertension, anxiety, and depression, all of which do not lead to a healthy pregnancy. A variety of interventional procedures are commonly performed during pregnancy that can safely alleviate pain. This review goes into detail about the types of pain treatments that are available to pregnant women and are safe and effective in alleviating pregnancy-related pain. Keywords: Pelvic pain, leg cramps, abdominal pain, hypertension, anxiety, depression, joint laxity, ligament laxity, back pain, analgesics, pregnancy

scholarly journals Retenção Urinária Como Manifestação de Hematocolpos

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.

Missed diagnosis of imperforate hymen later presenting with hypertension

2020 ◽  
Vol 13 (9) ◽  
pp. e237416
Author(s):  
Moira Chia ◽  
Christopher Ho
Keyword(s):  
Abdominal Pain ◽  
Adolescent Girl ◽  
Chronic Abdominal Pain ◽  
Medical Attention ◽  
Imperforate Hymen ◽  
Missed Diagnosis

An adolescent girl presented with hypertension and was found to have haematocolpos and imperforate hymen. She had a background of chronic abdominal pain and had sought medical attention multiple times prior, with the diagnosis being missed as pubertal evaluation and perineal examination had been neglected during those visits. Hypertension resolved following hymenectomy and drainage of haematocolpos with no long-term sequelae.

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