1.A Case of Imperforated Hymen Associated with Acute Urinary Retention.
Mun Hwan CHO ; Chul Soo YOEN ; Kap Byung KIM ; Hyun Yul RHEW
Korean Journal of Urology 1987;28(6):911-914
Failure in the formation of a hymeneal orifice is a rare congenital malformation. There are many cases of imperforated hymen with hematocolpos in literature. However this condition associated with obstructive uropathy such as acute urinary retention is rare. We experienced a case of imperforated hymen with hematocolpos which caused acute urinary retention in a 16-year-old girl. Herein we report this case with brief review of literature.
Adolescent
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Female
;
Hematocolpos
;
Humans
;
Hymen*
;
Urinary Retention*
2.Microperforate Hymen Presenting as Tubo-Ovarian Abscess in Adulthood
Journal of Surgical Academia 2018;8(2):27-30
Microperforate hymen is a rare vaginal anomaly that is usually reported in childhood due to recurrent urogenital infections. Unlike imperforate hymen where the presenting complaints are classical due to complete vaginal obstruction, the less profound and varied presentation of microperforate hymen may go unnoticed. We report a case of a 39-year-old, with a background history of amenorrhea, who presented with acute abdomen suggestive of tubo-ovarian abscess, and was finally diagnosed to have microperforate hymen. She underwent hymenectomy to correct the anomaly. To our knowledge, this is the oldest age of presentation of a congenital form of microperforate hymen. A high index of suspicion and early detection of microperforate hymen and properly timed intervention is essential to prevent acute symptoms and long term detrimental sequalae to women’s reproductive and psychosexual health
congenital anomalies
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imperforate hymen
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microperforate hymen
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surgical correction
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tubo-ovarian abscess
3.A Case of Acute Urinary Retention Caused by Hematocolpos Secondary to Imperforate Hymen.
Dong Sun KIM ; Jee Pil CHO ; Gil Ho LEE ; Duck Ki YOON ; Sung Kun KOH
Korean Journal of Urology 1986;27(5):765-767
Hematocolpos is a congenital abnormality resulting from vaginal obstruction. This is relatively not rare condition but is rarely associated with obstructive uropathy such as acute urinary retention and hydronephrosis. We encountered a rare case of hematocolpos, secondary to imperforate hymen, which caused hydronephrosis and urinary retention.
Congenital Abnormalities
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Female
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Hematocolpos*
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Hydronephrosis
;
Hymen*
;
Urinary Retention*
4.Two Cases of Imperforate Hymen with Hematocolpometra.
Su Kon KIM ; Jae Ho CHOI ; Keon JIN
Korean Journal of Obstetrics and Gynecology 2002;45(10):1860-1864
Imperforate hymen is a rare congenital malformation. Two cases of imperforate hymen regarded to congenital origin, and formed hematocolpometra. In most instances definite finding is noticed after menarche as retention of menstrual flow results in abdominal pain, distension of the lower abdomen and often in acute urinary retention. Two cases of imperforate hymen associated with hematocolpora, hematometra and abdominal distension at age of 14 and 16 were treated satisfactorily by simple crucial incision of hymen, and drained of about 800 cc and 600 cc of tarry blood respectively. We present two cases of imperforate hymen with review of the literatures.
Abdomen
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Abdominal Pain
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Female
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Hematometra
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Hymen*
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Menarche
;
Urinary Retention
5.A Case of Imperforate Hymen with Hematocolpometra.
Seok Kyeng CHUN ; Eun Jin JUNG ; Chang Jun YU ; Yun Ju JANG ; Ji Un KIM ; Chang Seong KANG ; Sung Chul PARK ; Jong Kyou PARK
Korean Journal of Obstetrics and Gynecology 2005;48(12):2993-2997
Imperforate hymen is a rare congenital malformation, but it can make hematocolpometra and complications. In most cases definite finding is noticed after menarche as retention of menstrual flow results in abdominal pain, distension of the lower abdomen and often in acute urinary retention. A case of imperforate hymen associated with hematocolpometra at age of 12 was treated satisfactorily by simple crucial incision of hymen and drained of about 450 cc of tarry blood. We present a case of imperforate hymen with a brief review of literatures concerned.
Abdomen
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Abdominal Pain
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Female
;
Hymen*
;
Menarche
;
Urinary Retention
6.A case of imperforate hymen in newborn infant causing hydrometrocolpos and hydronephrosis.
Yun Ji BAEK ; Jeong Tae KIM ; Sung Kyoo JANG ; Ook Hwan CHOI
Korean Journal of Obstetrics and Gynecology 2007;50(2):372-375
Imperforate hymen is a common congenital malformation, but usually remains asymptomatic and not detected until menarche. Neonatal hydrometrocolpos caused by imperforate hymen is reported to be very rare. We report a case of hydrometrocolpos in newborn presenting with pelvic mass and bulging membrane in vaginal introitus causing both hydronephrosis which is treated surgically with good result.
Female
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Humans
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Hydronephrosis*
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Hymen*
;
Infant, Newborn*
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Membranes
;
Menarche
8.A life threatening complication of an imperforate hymen : a case report
Caringal Emma R. ; Alenzuela Anna Belen I. ; Matignas Anna Lyn A.
Philippine Journal of Reproductive Endocrinology and Infertility 2011;8(1):11-15
A not so benign disease of imperforate hymen in a 20 year old who presented with acute hypogastric pain will be discussed. The diagnosis of an imperforate hymen should be made during routine neonatal pediatric examination. However, it is not unusual to see a teenage girl present with typical findings of cyclic adominal pain, urinary retention, constipation and a bulging introital mass with hematocolpos and hematometra on ultrasounds examination. Additional findings may include hematosalpinges and formation of endometrial cysts with severe pelvic adgesions. Conservative management generally includes hymenectomy with drainage of the blood and antibiotic therapy. Patients are generally discharged after 24 hours or the procedure is done as an outpatient basis with oral pain medications given. However in our case, the dilemma in terms of management of conservative versus aggressive surgery was encountered. Our patient was only 20 years old presenting with primary amenorrhea and cyclic dysmenorrhea for 7 years with the possibility of a pelvic "clean up" and the problems of premature menopause and infertility were at the back of our minds. A greater awareness of this complication should prompt clinicians to consider this entity when dealing with cases such as this one.
Human
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Female
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Young Adult
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HEMATOCOLPOS
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HEMATOMETRA
;
VAGINA
;
HYMEN
9.Spindle Cell Epithelioma, a So-called Benign Mixed Tumor of the Vagina: A Case Report.
Mee Hye OH ; Eun Ah JUNG ; Ji Hye LEE ; Hyun Deuk CHO ; Seung Ha YANG ; Jeong Ja KWAK
Korean Journal of Pathology 2010;44(6):670-674
We report a case of spindle cell epithelioma, a so-called benign mixed tumor of the vagina. The patient was a 35-year-old nulliparous woman who presented with a polypoid mass in the posterior wall of the lower vagina just above the hymenal ring. The tumor was relatively well-defined with an expansile margin and composed of stromal-type spindle cells with a myxoid stroma arranged in short fascicles and an irregular cord-like or reticular pattern. A few glandular structures lined by cuboidal cells with squamous metaplasia were also noted. Cellular atypia was not conspicuous and mitosis was not found. We examined this tumor immunohistochemically to identify the histogenesis. The coexpression of epithelial and mesenchymal markers in stromal-type spindle cells suggested a multipotential cell origin for this tumor. The patient has been well with no signs of recurrence during the 12 months after surgery.
Adult
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Carcinoma
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Female
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Humans
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Hymen
;
Metaplasia
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Mitosis
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Recurrence
;
Vagina
;
Vaginal Neoplasms
10.Two Cases of Hydrometrocolpos in Neonate.
Min Young PARK ; Bo Ra SON ; So Young KIM ; Young You KIM ; Hyun Hee KIM ; Won Bae LEE ; In Kyung SUNG ; Chung Sik CHUN ; Su Aa LIM
Journal of the Korean Pediatric Society 2002;45(2):278-283
Imperforated hymen, vaginal atresia or high transverse vaginal septum are caused by incomplete vaginal canalization. The infant may be present with distention of the vagina and the uterus with glandular secretions stimulated by maternal estrogens, known as hydrometrocolpos. We report two cases of hydrometrocolpos. In the first case, distal vaginal atresia with cystovaginal fistula was revealed by a contrast fluoroscope through the percutaneous catheterization. In the second case, urogenital sinus was detected by a fistulogram through a single orifice in the genital area. We decompressed the cystic mass by ultrasonogram guided aspiration, promptly at birth, then achieved the transient drainage of cystic fluids by percutaneous catheterization.
Catheterization
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Catheters
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Drainage
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Estrogens
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Female
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Fistula
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Humans
;
Hymen
;
Infant
;
Infant, Newborn*
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Parturition
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Ultrasonography
;
Uterus
;
Vagina