Full text. Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (M), or click on a page. Ind Med Gaz. Jan;77(1) A Case of Hymen Imperforata. Paladhi MN(1). Author information: (1)Lohaghat Dispensary, Almora, Himalayas. PMCID. Perineal examination showed a bluish bulging hymen. Transabdominal ultrasonography revealed a dense mass in the pelvis measuring about.

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Imperforate hymen – a rare cause of hmyen pain: The most common symptoms of an imperforate hymen are cyclical abdominal pain and urinary retention, usually presenting between the ages of 13 and 15 years when menarche occurs. A mobile, non-tender mass, arising from the pelvis to the belly button, was felt in the abdomen fig 1upper image. Imperforate hymen with bilateral hydronephrosis: Imperforate hymen is a rare cause of abdominal pain in female adolescents.

Failure of the recanalisation process of the distal end of the vagina. Obstet Gynecol ; Gynaecologic examination revealed a bulging bluish hymen fig 2. She was 13 years old and had not yet had a menstrual period, but did have pubic hair and breast buds, confirming the onset of puberty. Sakalkale R, Samarakkody U.

A Case of Hymen Imperforata.

Open in a separate window. Imperforate hymen with hematocolpos. Parazzini F, Cecchetti G. Clitoromegaly Progestin-induced virilization Pseudohermaphroditism True hermaphroditism. Adams Hillard June 12, Pan African Medical Journal. You hyen also scroll through stacks with your mouse wheel or the keyboard arrow keys.


Imperforate impedforata with bilateral hydronephrosis in a neonate. J Pediatr Orthop ; It is seen in approximately 1 in females, although information on the true incidence is difficult to obtain. Usual initial imaging modality of diagnosis, it shows a distended fluid-filled vagina haematocolpos and uterus haematometra with internal echoes representing hemorrhage of various ages.

We diagnosed an imperforate hymen with consequent accumulation of blood in the vagina and uterus haematocolpos and haematometra, respectively. A review of the literature and a report of twenty cases. Acute urinary retention as the presentation of imperforate hymen. Before surgical intervention in adolescents, symptoms can be relieved by the combined oral contraceptive pill taken continuously to suppress the menstrual cycle or NSAIDs to relieve pain.

Mucometrocolpos and hematocolpos can in turn cause urinary retention, constipation, and urinary tract infection. Log in Sign up.

What Is an Imperforate Hymen?

Edit article Share article View revision history. An imperforate hymen is usually visible on vaginal inspection as a bulging blue membrane. An imperforate hymen occurs in 0. About Blog Go ad-free.

National Center for Biotechnology InformationU. There was no history of nausea, vomiting, fever, altered bowel habits or problems with urinating.

An imperforate impervorata is a congenital disorder where a hymen without an opening completely obstructs the vagina.

Hematocolpos as a cause of back pain in premenarchal adolescents. We diagnosed an imperforate hymen with haematocolpos and haematometra.

Some symptoms of appendicitis are similar to those of an imperforate hymen, and there are cases where groundless appendectomies have been performed. J Reprod Med ; A similar condition, cribriform hymenis diagnosed when the hymen contains many minute openings. Thank you for updating your details. A year-old girl was admitted with a history of lower abdominal pain.


No other gross external abnormalities of the external genitalia were observed. Imperforate hymen as a cause of bladder perforation and intestinal obstruction.

The patient now menstruates regularly. Imperforate hymen is the most common vaginal obstruction of congenital origin. Early diagnosis of an imperforate hymen is important, since it can lead to serious complications such as infections, hydronephrosis, kidney failure, endometriosis and subfertility.

Pregnancy success following surgical correction of imperforate hymen and complete transverse vaginal septum.

From Wikipedia, the free encyclopedia. An imperforate hymen is formed imperforaat fetal development when the sinovaginal bulbs fail to canalize with the rest of the vagina. Hematocolpometra manifesting as constipation in the young female. Perineal examination showed a bluish bulging hymen. The pain had become more severe during the previous 2 months and the size of her abdomen had increased over the past few months.

The reason for non-perforation of this membrane is unknown. Endometriosis and mullerian anomalies. Unable to process the form. Arch Gynecol Obstet ; An imperforate hymen can be diagnosed at physical examination upon identification of a bulging, bluish membrane that hymdn positive transillumination at the introitus; consequently, imaging is rarely indicated.