Imperforate Hymen Presenting with Massive Hematometra and Hematocolpos: A Case Report . Figure 2: Evacuation of hematocolpos and heamatometra. Hematometra a nd Hematocolpos: Ultrasound. Findings. x/79/ lolo. $ JOACHIM. F. SAILER’. An imperforate hymen is the most. A large hematometra and hematocolpos were detected by transabdominal ultrasound scanning. Transabdominal ultrasound depicted a distended uterus 90 mm.

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It is generally treated surgically, with a hymenotomy or other surgery to remove any tissue that blocks the menstrual flow. Journal of ultrasound in medicine: In addition, HMB episodes may occur because of disruptions or abnormalities of the coagulation cascade [ 1 ].

Clinicians should have high index of suspicision of imperforate hymen for them hematocilpos make early diagnosis of these bizarre and challenging modes of presentations of the complications of untreated imperforate hymen.

It is most commonly caused by an imperforate hymen or a transverse vaginal septum. Our patient and her mother were counseled about this issue of defloration during surgery. Female infertility Recurrent miscarriage. A transabdominal ultrasound obtained 2 days later showed resolution of the hematometrocolpos. A report of two cases. An Algorithmic Hematlcolpos to Problem Solving. Journal of Clinical Ultrasound.


Hematometra is usually treated by surgical cervical dilation to drain the blood from the uterus. Cochrane Database Syst Rev. Antifibrinolytics have been reported to decrease bleeding in about half of the women with HMB and can be administered in combination with contraceptive methods [ 20 ].

Female infertility Recurrent miscarriage. High index of suspicion is required for early diagnosis and treatment before the complications like massive hematometra and hematocolpos occur. D ICD – Bleeding disorders in adolescents. By using this site, you agree to the Terms of Use and Privacy Policy. There are some effective treatment methods for adolescents with HMB. Heterogeneous structures the largest being 90 mm in diameter were seen in the uterine cavity.


This article has been cited by other articles in PMC. Bartholin’s cyst Kraurosis vulvae Vestibular papillomatosis Vulvitis Vulvodynia. Congenital abnormalities resulting in hematometrocolpos include imperforate hymen, a complete transverse vaginal septum, vaginal and, rarely, cervical atresia [ 789 ].

Female infertility Fallopian tube obstruction Hematosalpinx Hydrosalpinx Salpingitis. Cervical dysplasia Cervical incompetence Cervical polyp Cervicitis Female infertility Cervical stenosis Nabothian cyst. National Center for Biotechnology InformationU. Potential etiologies include progestin use, decreased uterine contractility triggered by high progestin levels, which might have prevented the effective removal of menstrual debris, and lastly, a possible partial obstruction hemztometra massive uterine bleeding and drainage of bleeding hematometta a solid obstruction.

The timing of surgery is controversial. Kidney dish containing evacuated blood from the uterus and vagina.

Hematometra – Wikipedia

Her medical history revealed that 15 days prior to the presentation at the Emergency Department, she had been prescribed a ten-day course of progestogen therapy on request to delay her menstrual cycle. Home Publications Conferences Register Contact. Ann Jose ankara escort. Adnexa Ovary Endometriosis of ovary Hematometda infertility Hematometar Poor ovarian reserve Mittelschmerz Oophoritis Ovarian apoplexy Ovarian cyst Corpus luteum cyst Follicular cyst of ovary Theca lutein cyst Ovarian hyperstimulation syndrome Ovarian torsion.

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Office Evaluation and Management of the Uterine Cavity. Hematometra and extended vaginal haematoma after laser conization. A related disorder is hematometrawhere the uterus fills with menstrual blood. Hymenal membrane before trimming of the edges.


Persistent genital arousal disorder. Some authorities believe that hymenotomy is simple and can be done even in newborns [ 4 ]. Author information Article notes Copyright and License information Disclaimer.

Diagnosis and management of hydrohematometrocolpos syndromes. Journal List North Clin Istanb v. Asherman’s syndrome Dysfunctional uterine bleeding Endometrial hyperplasia Endometrial polyp Endometriosis Endometritis.

Support Center Support Center. The intracavitary findings included different degrees of resolving hemorrhage, but a malignancy, although less likely, could not be ruled out. Bhatia Medical Coaching Institute Pvt.

Hematocolpos – Wikipedia

Transabdominal ultrasound depicted a distended uterus 90 mm in diameter Figure 1a which communicated with a markedly distended vagina Figure 1b. Hematocolpos is a medical condition in which the vagina fills with menstrual blood. Conclusion Adolescents often present at gynaecologists with HMB, although HMB following the usage of contraceptive pills which may cause hematometrocolpos is rare.

They hemstocolpos consent to the surgery that may preserve virginity. Adnexa Ovary Endometriosis of ovary Female infertility Anovulation Poor ovarian reserve Mittelschmerz Oophoritis Ovarian apoplexy Ovarian cyst Corpus luteum cyst Follicular cyst of ovary Theca lutein cyst Ovarian hyperstimulation syndrome Ovarian torsion.

Bartholin’s cyst Kraurosis vulvae Vestibular papillomatosis Vulvitis Vulvodynia.