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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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Neonatal and pediatric ultrasonography. Bleeding disorders in teenagers presenting with menorrhagia.

Imperforate Hymen Presenting with Massive Hematometra and Hematocolpos: A Case Report

Therefore, a careful anamnesis, and physical examination are essential for diagnosis and management. Female infertility Fallopian tube obstruction Hematosalpinx Hydrosalpinx Salpingitis. A related disorder is hematometrawhere the uterus fills hematocopos menstrual blood. Preserved hymen after hymenotomy. September 22, ; Accepted date: We report a case of a year-old girl who presented with delayed menarche, eight-month history of cyclic abdominal pain, and a three-week history of lower abdominal swelling.

They opted for a virginity-preserving hymenotomy. Netter’s Obstetrics and Gynecology.

Retrieved from ” https: Our patient hemtaometra had occasional constipation and retention of urine. Ann Jose ankara escort. Hematometra develops when the uterus becomes distended with blood secondary to obstruction or atresia of the lower reproductive tract—the uterus, cervix or vagina —which would otherwise provide an outflow for menstrual blood.


This women’s health related article is a stub. She admitted to occasional episodes of constipation and urinary retention. Persistent genital arousal disorder.

Hematometra – Wikipedia

J Pediatr Health Care. Hematometra typically presents as cyclic, cramping pain ehmatometra the midline of the pelvis or lower abdomen.

B Transabdominal sonographic view showing the markedly distended vagina measuring Noninflammatory disorders of female genital tract. Her postoperative recovery was uneventful. Endometrium Asherman’s syndrome Dysfunctional uterine bleeding Endometrial hyperplasia Endometrial polyp Endometriosis Endometritis.

Thus, the underlying etiology of the hematimetra in this patient was uncertain, and this case denotes an unusual cause of acquired spontaneous hematometra and hematocolpos developed following progestin use. Ultrasound diagnosis of hematotrachelos: National Center for Biotechnology InformationU.

The definite management of imperforate hymen is surgical excision of the hymen from the base hymenecotomy and evacuation of the accumulated menstrual blood from the vagina and the uterus.

She was initially treated with blood transfusion eight units of packed red blood cells and four units of packed fresh-frozen plasma were transfused and hemostasis was achieved rapidly using hemaocolpos doses of combined oral contaceptive ethinyl estradiol 0. Hematometrocolpos was detected by transabdominal ultrasonography.


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Transabdominal ultrasound revealed a grossly dilated uterine cavity, and vagina that were containing Transvaginal sonography in the evaluation of hematometra. Antifibrinolytics have the effect of halting the lysis of clots occurring at the end of the clotting cascade thus improving gematocolpos clotting process.

Evaluation and treatment of menorrhagia in an adolescent population. Journal of ultrasound in medicine: There is not hematomettra data as yet to recommend one specific type of COC over any other [ 21 ].

It is often caused by the combination of menstruation with an imperforate hymen. Br J Clin Pract.