Volume : 7, Issue : 10, October - 2018

A Case Report On Haematocolpos

Archana Suneja, Kiran Borkar

Abstract :

<p>&nbsp;Background: Abdominal masses in female adolescents are uncommon. A rare cause of this condition is</p> <div>hematocolpos due to imperforate hymen. Ideally, diagnosis should be made early during fetal and neonatal</div> <div>examinations to prevent symptomatic presentations of its complications at puberty.</div> <div>Case report: We report a case of a 14-year-old girl who presented with delayed menarche, eight months history of cyclic abdominal</div> <div>pain, and a two days history of retention of urine. The development of her secondary sexual characteristics was normal for her age. A</div> <div>bulging bluish imperforate hymen was found on examination. Her transabdominal ultrasound revealed about</div> <div>15x 6.6 cm mass in continuation of uterus in region of vagina with deis within. She had virginity-preserving hymenotomy and evacuation</div> <div>of about 300 ml of accumulated coffee-colored menstrual blood.</div> <div>Conclusion: Clinicians should have high index of suspicion of imperforate hymen when assessing cases of delayed menarche with</div> <div>cyclic lower abdominal pain to prevent the consequences of its delayed treatment like massive hematometra, hematocolpos and</div> <div>urinary retention.</div>