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Prioritising gynaecological care in post-haematopoietic stem cell transplant patients.
BMJ Case Rep
January 2025
Reproductive Medicine and Surgery, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India.
An adolescent girl with acute myeloid leukaemia underwent chemotherapy followed by haematopoietic stem cell transplantation (HSCT). Post-HSCT, she developed oral chronic graft-versus-host disease (cGvHD), which was successfully treated. Twenty months later, she was referred to the gynaecology department for evaluation of secondary amenorrhoea.
View Article and Find Full Text PDFA rare case of acute urinary retention due to hematocolpos in a 15-year-old girl: A case report.
Int J Surg Case Rep
January 2025
General Referral Hospital of Musienene, Territory of Lubero, North Kivu, Democratic Republic of the Congo.
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.
Case Presentation: A 15-year-old girl presented with AUR and lower abdominal pain, which led to the diagnosis of hematocolpos.
An 11-year-old postmenarchal female presented to the pediatric emergency department (ED) with 2 days of periumbilical and right lower abdominal pain. Radiology-performed ultrasound (RADUS) did not visualize the appendix, and there was a plan for surgical consultation to decide between serial abdominal exams versus computed tomography (CT) scan. While awaiting consultation and to help further narrow the differential diagnosis, the emergency provider performed a point of care ultrasound (POCUS) of the urinary tract.
View Article and Find Full Text PDFA Rare Case Report of a Congenital Imperforate Hymen Causing Obstructive Uropathy and Constipation in an 11-Year-Old Girl.
Int Med Case Rep J
November 2024
Faculty of Medicine, Universitas Katolik Widya Mandala Surabaya, Surabaya, Indonesia.
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.
Two cases of postpartum vaginal stenosis: a case report.
J Med Case Rep
November 2024
Department of Obstetrics and Gynecology, St. Paul's Hospital Millennium Medical College, Swaziland Street, 1271, Addis Ababa, Ethiopia.
Background: Although vaginal stenosis following pelvic or vaginal radiotherapy for cancer treatment is a common complication, postpartum vaginal stenosis is a very rare obstetric complication. We report two cases of postpartum vaginal stenosis.
Case Presentation: The first was case was a 30-year-old para-I Ethiopian woman who presented with a history of foul-smelling vaginal discharge on her 11th postpartum day.
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