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| http://dx.doi.org/10.5334/jbr-btr.1413 | DOI Listing |
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Hidden obstruction: A rare case of hematometrocolpos in a young adolescent with vaginal atresia.
Radiol Case Rep
January 2025
S.O.C Radiology, Spoke Hospital of Locri, Locri, RC, Italy.
Hematometrocolpos is a condition characterized by the accumulation of menstrual blood in the uterus and vagina due to an obstruction, often caused by congenital malformations such as vaginal atresia or imperforate hymen. A 12-year-old girl presented with acute pelvic pain and absence of menarche. Ultrasound ruled out ovarian pathology but revealed distension of the cervix and vagina.
View Article and Find Full Text PDFA Case Report of Hematometrocolpos in Two Adolescents: Divergent Clinical Presentations and Diagnostic Challenges.
Cureus
August 2024
Medical Education, Brunel Medical School, London, GBR.
Article Synopsis
- Hematometrocolpos is a rare congenital condition in girls caused by an imperforate hymen, leading to the buildup of menstrual blood and often resulting in abdominal pain.
- The case study presents two adolescent girls who experienced symptoms such as lower abdominal pain, constipation, and urinary retention, and were diagnosed with this condition through a physical exam and ultrasound.
- Successful hymenotomy was performed on both patients, allowing for complete recovery without complications, highlighting the importance of early diagnosis to prevent potential future issues like infertility.
A case of image-guided hematometrocolpos drainage requiring tissue plasminogen activator in a pediatric patient.
J Surg Case Rep
February 2024
Department of Obstetrics and Gynecology, Emory School of Medicine/Children's Healthcare of Atlanta, James B. Williams Medical Education Building 100 Woodruff Circle Atlanta, GA 30322, United States.
Article Synopsis
- * The case report discusses a successful treatment of HMC in a 13-year-old girl using image-guided percutaneous drainage with tissue plasminogen activator (TPA), followed by vaginoplasty.
- * The findings highlight the benefits of less-invasive drainage methods, suggest the need for personalized treatment guidelines, and consider menstrual suppression as part of managing HMC.
Two-balloon epistaxis catheter to ensure vaginal patency in a complex case of vaginoplasty for vaginal agenesis: a case report.
Pediatr Med Chir
November 2023
Santa Chiara Hospital, Department of Pediatric Surgery, Trento.
Article Synopsis
- Congenital vaginal atresia is a rare condition affecting the female reproductive system, which poses challenges for surgical procedures like vaginoplasty due to the risk of vaginal narrowing afterwards.
- A case study involves an 11-year-old girl with Down syndrome who presented with pelvic pain, revealing an imperforate hymen and absence of the lower vagina, leading to a diagnosis of congenital vaginal agenesis.
- To assist post-surgery, an epistaxis catheter was utilized as a makeshift vaginal dilator, providing a viable alternative for maintaining vaginal openness in patients who struggle with traditional dilators.
Urinary retention complicated by hematocolpos in an adolescent girl: Case report.
Int J Surg Case Rep
November 2023
Urology Department, Al Jahra Hospital, Kuwait.
Article Synopsis
- This case report discusses a rare instance of urinary retention in a 12-year-old girl caused by congenital vaginal obstruction, specifically hematocolpos.
- The patient presented with ongoing abdominal pain, urinary issues, and was diagnosed with acute urinary retention and hematocolpos through ultrasound.
- It emphasizes the need for quick diagnosis and treatment of hematocolpos, as early recognition can lead to effective surgical management and relief of symptoms.
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