Imperforate hymen is an uncommon obstructive anomaly of the female reproductive tract, which usually presents with intermittent and cyclical abdominal pain. Although it is usually sporadic, four cases of familial occurrence of imperforate hymen have been reported so far. Imperforate hymen is seldom associated with complications if it is detected early. In view of the possible familial occurrence, it is important to have a high index of suspicion in women who present with imperforate hymen. A detailed menstrual history of other female family members is necessary to enable early detection.
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Division of Pediatric and Adolescent Gynecology, Department of Obstetrics & Gynecology, Baylor College of Medicine, Houston, Texas.
Study Objective: Imperforate hymen (IH) is a rare congenital anomaly that results in vaginal outlet obstruction. IH can cause significant morbidity if not managed appropriately, which depends on accurate identification of the condition. However, data on the accuracy of IH diagnosis is limited.
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Article Synopsis
- Imperforate hymen is a rare congenital condition occurring in about 1 in 1,000 girls, often leading to complications like obstructive uropathy and constipation, which can delay diagnosis.
- In a reported case of an 11-year-old girl, severe abdominal pain due to huge hematocolpos was addressed through physical examination, emphasizing the importance of early detection.
- The treatment involved a surgical procedure that included hymenectomy, blood drainage, and hymenoplasty, allowing the patient to regain normal urinary and bowel functions soon after surgery and resume menstruation three weeks later.
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