scholarly journals Imperforate hymen presenting with massive haematocolpos and acute urinary retention in a teenage girl: A case report

2012 ◽  
Vol 14 (4) ◽  
Author(s):  
Ipyana H. Mwampagatwa ◽  
Baraka A. Mponda
Keyword(s):  
Case Report ◽  
Urinary Retention ◽  
Adolescent Girls ◽  
Acute Urinary Retention ◽  
Clinical Presentation ◽  
Lower Abdominal Pain ◽  
External Genitalia ◽  
Imperforate Hymen ◽  
Lower Genital Tract ◽  
History Of

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.

The importance of a thorough clinical examination in adolescent girls presenting with acute urinary retention

2021 ◽  
Vol 14 (2) ◽  
pp. e240378
Author(s):  
Oman Rai ◽  
Sanju Lama ◽  
Sanjay Wazir Pandita
Keyword(s):  
Urinary Retention ◽  
Adolescent Girls ◽  
Acute Urinary Retention ◽  
Lower Abdominal Pain ◽  
Paediatric Ward ◽  
Common Causes ◽  
History Of ◽  
The Common ◽  
Time Of Presentation ◽  
New Onset

We present an adolescent girl with a 1-day history of acute urinary retention and lower abdominal pain. She was admitted to the paediatric ward for ongoing treatment and investigations. Due to a myriad of factors including pain and anxiety, challenges posed included an incomplete initial abdominal and external genital examination. This case report highlights the importance of a focused history and performing an appropriate sensitive examination at the time of presentation. Furthermore, we explore the common causes of new onset urinary retention and unravel the case as it unfolds. We also highlight differential diagnoses (however, uncommon), which must be considered and not overlooked to avoid unnecessary investigations and to ensure timely management.

scholarly journals Virginity-sparing management of hematocolpos with imperforate hymen: case report and literature review

2019 ◽  
Vol 7 ◽  
pp. 2050313X1984676
Author(s):  
Thomas Obinchemti Egbe ◽  
Fidelia Mbi Kobenge ◽  
Emmanuella Manka’a Wankie
Keyword(s):  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Lower Abdominal Pain ◽  
Pelvic Mass ◽  
Urogenital Sinus ◽  
Primary Amenorrhea ◽  
Abdominal Ultrasonography ◽  
Imperforate Hymen ◽  
History Of ◽  
Good Treatment Option

Imperforate hymen results from failure of the endoderm of the urogenital sinus to completely canalize and has an incidence of 0.01% to 0.05%. This sometimes presents as a pelvic mass that compresses the bladder causing acute urinary retention. A 13-year-old girl was referred to our department with a history of primary amenorrhea, cyclic lower abdominal pain, abdominal–pelvic mass, constipation and acute urinary retention. She had an ultrasonography misdiagnosis of a huge ovarian mass before referral to our unit. On examination, the vagina was bulging and compressing the rectum. Repeat abdominal ultrasonography confirmed the diagnosis of hematometrocolpos. She underwent X-shaped hymenotomy with a favorable outcome. Diagnosis of imperforate hymen requires high suspicion index. Virginity-sparing surgery constitutes a good treatment option for cultural and religious reasons.

scholarly journals A Rare Presentation of Imperforate Hymen: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
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.

Surgical management of choke through oesophagotomy in a buffalo: A case report

2017 ◽  
Vol 12 (3) ◽  
Author(s):  
Devasee Borakhatariya ◽  
A. B. Gadara
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Clinical Presentation ◽  
Clinical Signs ◽  
Thoracic Inlet ◽  
Cervical Oesophagus ◽  
Foreign Objects ◽  
History Of ◽  
Oesophageal Obstruction ◽  
Large Animals

Oesophageal disorders are relatively uncommon in large animals. Oesophageal obstruction is the most frequently encountered clinical presentation in bovine and it may be intraluminal or extra luminal (Haven, 1990). Intraluminal obstruction or “choke” is the most common abnormality that usually occurs when foreign objects, large feedstuff, medicated boluses, trichobezoars, or oesophageal granuloma lodge in the lumen of the oesophagus. Oesophageal obstructions in bovine commonly occur at the pharynx, the cranial aspect of the cervical oesophagus, the thoracic inlet, or the base of the heart (Choudhary et al., 2010). Diagnosis of such problem depends on the history of eating particular foodstuff and clinical signs as bloat, tenesmus, retching, and salivation

scholarly journals Acute urinary retention in an adolescent girl secondary to hematocolpos: A case report

2020 ◽  
Vol 4 (2) ◽  
pp. 418-419
Author(s):  
Rajasri G Yaliwal ◽  
Shreedevi S Kori ◽  
Aruna M Biradar ◽  
Subhashchandra R Mudanur ◽  
Basavaraj G Patil ◽  
...  
Keyword(s):  
Case Report ◽  
Urinary Retention ◽  
Adolescent Girl ◽  
Acute Urinary Retention
Sign in / Sign up

Export Citation Format

Share Document