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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An imperforate hymen is most often diagnosed in adolescent girls after the age of menarche with otherwise normal development. Both the recessive and dominant modes of transmission have been suggested, but no genetic markers or mutations have been proven as aetiological factors.

This page was last edited on 22 Septemberat Wilkinson and Stone Atlas of Vulvar Disease 3rd ed. Support Center Support Center. Please review our privacy policy. Affected newborns may present with acute urinary retention. Swollen abdomen with haematometra due to an imperforate hymen and the abdomen after hymenectomy.

An imperforate hymen is a congenital disorder where a hymen without an opening completely obstructs the vagina. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Retrieved from ” https: Imperforate hymen – a rare cause of abdominal pain: Vaginal septum Vaginal hypoplasia Imperforate hymen Vaginal adenosis Cloacal exstrophy Vaginal atresia.

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.


What Is an Imperforate Hymen?

She then started developing cyclical crampy pain in the lower abdomen, which lasted for 7 days every month. If untreated or unrecognized before puberty, an imperforate hymen can lead to peritonitis or endometriosis due to retrograde bleeding.

Clitoromegaly Progestin-induced virilization Pseudohermaphroditism True hermaphroditism. A similar condition, cribriform hymenis diagnosed when the hymen contains many minute openings. This article has been cited by other articles in PMC.

UrogenitalPaediatricsGynaecology. A mobile, non-tender mass, arising from the pelvis to the belly button, was felt in the abdomen fig 1upper image. Ann Emerg Med ; Views Read Edit View history. Female congenital anomalies of the genitalia, including Intersex and DSD: Log in Sign up.

The diagnosis can be established with an abdominal ultrasound showing the pelvic cystic mass.

Loading Stack – 0 images remaining. The history and physical examination are frequently incomplete.

Imperforate hymen should be differentiated from a low transverse vaginal septum using the Valsalva manoeuvre: Can it be treated without damaging the hymenal structure? Support Radiopaedia and see fewer ads. A review of the literature and a report of twenty cases.

A Case of Hymen Imperforata.

Early diagnosis of an imperforate hymen is important, since it can lead to serious complications such as infections, hydronephrosis, kidney failure, endometriosis and subfertility. By using this site, you agree to the Terms of Use and Privacy Policy. The patient now menstruates regularly. Endometriosis and mullerian anomalies.

It is caused by a failure of the hymen to perforate during fetal development. Acute urinary retention in two patients with imperforate hymen. Edit article Share article View revision history. Approximately ml of viscous, chocolate coloured blood and clots were drained fig 3. Hematocolpometra presenting as urinary retention. National Center for Biotechnology InformationU. An imperforate hymen is formed during fetal development when the sinovaginal bulbs fail to impwrforata with the rest of the vagina.

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Imperforate hymen occurs mostly in a hyme manner, although some familial occurrences have been reported. Imperforate hymen is a imperforaata cause of abdominal pain in female adolescents.

Imperforate hymen occurs due to a failure of recanalisation of this membranous vestige. In a retrospective study of the long term results of surgical correction of imperforate hymen, nine of 15 patients had an irregular menstrual cycle and six of 15 patients had dysmenorrhea over a follow-up of 8. Vaginal atresia and a transverse vaginal septum require differentiation. It is important to be aware of this while examining a female adolescent presenting with cyclical abdominal pain and primary amenorrhea.

Symptoms and Signs in Pediatric Surgery. Additionally, it can lead to mucometrocolpos dilatation of the vaginal canal and uterus due to mucous buildup or hematometrocolpos dilatation due to buildup of menstrual fluid.

Early detection of imperforate hymen prevents morbidity from delays in diagnosis. J Pediatr Adolesc Gynecol ; Pediatr Surg Int ;