Acute Urinary Retention by Hematocolpos in an Adolescent Girl with Imperforate Hymen: A Case Report

Imperforate hymen is relatively rare but it is the most frequently encountered obstructive anomaly of the female lower genital tract. The clinical presentation vary significantly from patient to patient depending on the age at diagnosis but in most cases the diagnosis is missed in early childhood and therefore the diagnosis is made after puberty when the patient present with haematocolpos, heamatometra or both. When this happens, the presentation could even be tricky because the patient may presents with unlikely symptoms apart from cryptomenorhoea like, urinary retention or bowel obstruction or both. Here we present a 16 years old girl with imperforate hymen and presented with history of lower abdominal pain and distension associated with acute urinary retention. She was treated by hymenotomy and improved dramatically and was discharge 6th day post operatively. This case report is presented to address to clinicians the possibility of imperforate hymen with haematocolpos as a differential diagnosis in adolescent girls particularly those who have not started having their menses in their teens and present with acute urinary retention so that their external genitalia are carefully examined to exclude the possibility of imperforate hymen as a cause of acute urinary retention due to the haematocolpos.

Download Full-text

Acute urinary retention secondary to an imperforate hymen: A case report

International Journal of Gynecology & Obstetrics ◽

10.1016/s0020-7292(00)83432-3 ◽

2000 ◽

Vol 70 ◽

pp. A130-A130

Author(s):

M.S. Arruda ◽

D.B. Tiago

Keyword(s):

Case Report ◽

Urinary Retention ◽

Acute Urinary Retention ◽

Imperforate Hymen

Download Full-text

A Rare Presentation of Imperforate Hymen: A Case Report

Case Reports in Urology ◽

10.1155/2013/731019 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Beena Salhan ◽

Olufunmilayo Theresa Omisore ◽

Priyadarshi Kumar ◽

John Potter

Keyword(s):

Case Report ◽

Urinary Retention ◽

Acute Urinary Retention ◽

Large Mass ◽

Mri Scan ◽

Rare Presentation ◽

Imperforate Hymen ◽

Surgical Department ◽

History Of ◽

Us Scan

Introduction. Acute urinary retention in a child is rare. Haematocolpos can cause a mechanical obstruction, resulting in acute urinary retention.Case Report. A 12-year-old girl presented to the surgical department with a one-day history of acute urinary retention and suprapubic tenderness. She had not started menses but had described period-like pains every month for the past six months. On examination, she had a palpable bladder with over 500 mls of residual urine and a bluish-grey bulge posterior to her urethral meatus. An US scan showed a large mass posterior to her bladder resembling a haematocolpos, and this was confirmed with an MRI scan. She was catheterised and eventually underwent a hymenectomy using a cruciate incision. She made a good recovery postoperatively.Conclusion. In the case of a peripubertal female presenting with acute urinary retention, haematocolpos should be considered as a diagnosis.

Download Full-text