Imperforate hymen presenting as painless acute urinary retention and constipation.

Paediatr Child Health

Mid and South Essex NHS Foundation Trust, Basildon, Essex, UK and Northern Ireland.

Published: December 2022

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9732849PMC
http://dx.doi.org/10.1093/pch/pxac039DOI Listing

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Introduction And Importance: Acute urinary retention (AUR) is uncommon in pediatric and adolescent populations, particularly among females. To highlight the presentation of AUR as a symptom of hematocolpos due to an imperforate hymen in a 15-year-old girl.

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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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Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a congenital disorder affecting the female reproductive system, primarily characterized by the absence or underdevelopment of the uterus and upper two-thirds of the vagina, with preserved ovarian function and normal secondary sexual characteristics. It is a rare disease though prevalence may vary based on genetic and environmental factors. This report details a case of a 26-year-old female patient with a history of smoking, alcohol use, and prior inguinal hernioplasty, presenting with primary amenorrhea and inability to engage in vaginal intercourse.

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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.

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