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Case Report Diagnosing of Imperforate Hymen by Ultrasound

Received: 26 September 2016     Accepted: 4 November 2016     Published: 29 November 2016
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Abstract

An imperforate hymen is a congenital disorder where a hymen without an opening completely obstructs the vagina. A16 year old, female, single with cyclic, lower abdominal pain, palpable supra-pubic mass and primary amenorrhea. Ultrasound show; well-defined echogenic fluid collection posterior to the urinary bladder, fluid with internal echoes in the uterine cavity the final diagnosis hematometrocolpos due to imperforate hymen.

Published in International Journal of Biomedical Materials Research (Volume 4, Issue 3)
DOI 10.11648/j.ijbmr.20160403.13
Page(s) 27-30
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Imperforate Hymen, Haematometra, Vagina, Ultrasound

References
[1] Braverman PK, Breech L,. American Academy of Pediatrics. Clinical report--gynecologic examination for adolescents in the pediatric office setting. Pediatrics. Sep 2010;126 (3): 583-90. [Medline].
[2] Kaiser, Georges L. (2012). Symptoms and Signs in Pediatric Surgery. Springer Science Business Media. p. 556. ISBN 9783642311611.
[3] Lacy, Judith (2008). "Imperforate hymen". The 5-minute Obstetrics and Gynecology Consult. Lippincott Williams & Wilkins. pp. 116–117. ISBN 9780781769426.
[4] Puri, Prem; Höllwarth, Michael E. (2009). Pediatric Surgery: Diagnosis and Management. Springer Science Business Media. p. 969. ISBN 9783540695608.
[5] Jason W. Fischer, MD and Charisse W. Kwan, MD, Emergency Point-of-Care Ultrasound Diagnosis of Hematocolpometra and Imperforate Hymen in the Pediatric Emergency Department, From the Division of Pediatric Emergency Medicine, Ultrasound Program, The Hospital for Sick Children; and University of Toronto, Toronto, Ontario, Canada, Pediatric Emergency Care & Volume 30, Number 2, February 2014.
[6] Emmanouil Karteris, Helen Foster, Maria Karamouti and Anastasia Goumenou, Congenital Imperforate Hymen with Hydrocolpos and Hydronephrosis associated with Severe Hydramnios and Increase of Maternal Ovarian Steroidogenic Enzymes, J Pediatr Adolesc Gynecol (2009), North American Society for Pediatric and Adolescent Gynecology Published by Elsevier Inc.
[7] Sharma, R. K. (2007). Concise Textbook Of Forensic Medicine & Toxicology. Elsevier. p. 117. ISBN 9788131211458.
[8] Zacharakis Dimitrios, Domali Ekaterini, Antsaklis Panos, Daskalakis George, Imperforate hymen with hematocolpometra: A new diagnostic approach using 2D and 3D translabial ultrasonography, An Obstetrics and Gynecology International Journal, VOLUME 13, ISSUE 2, APRIL - MAY 2014.
[9] Hall DJ. An unusual case of urinary retention due to imperforate hymen. J Accid Emerg Med 1999; 16: 232–3 [PMC free article] [PubMed].
[10] Letts M, Haasbeek J. Hematocolpos as a cause of back pain in premenarchal adolescents. J Pediatr Orthop 1990; 10: 731. [PubMed].
[11] Dickson CA, Saad S, Tesar JD. Imperforate hymen with hematocolpos. Ann Emerg Med 1985; 14: 467–9 [PubMed].
[12] Yu TJ, Lin MC. Acute urinary retention in two patients with imperforate hymen. Scand J Urol Nephrol 1993; 27: 543–4 [PubMed].
[13] Liang CC, Chang SD, Soong YK. Long-term follow-up of women who underwent surgical correction for imperforate hymen. Arch Gynecol Obstet 2003; 269: 5–8 [PubMed].
[14] Adams Hillard, Paula J. (June 12, 2013). "Imperforate Hymen Treatment & Management: Medical Therapy". eMedicine. Retrieved May 9, 2014.
[15] Wilkinson, Edward J. (2012). Wilkinson and Stone Atlas of Vulvar Disease (3rd ed.). Lippincott Williams & Wilkins. pp. 187–188. ISBN 9781451132182.
[16] Chelli D; Kehila M; Sfar E; Zouaoui B; Chelli H; Chanoufi B (2008). "Imperforate hymen: Can it be treated without damaging the hymenal structure?". Santé 18 (2): 83–87. doi: 10.1684/san.2008.0108. PMID 19188131.
[17] Gibbs, Ronald S. (2008). Danforth's Obstetrics and Gynecology. Lippincott Williams & Wilkins. p. 557. ISBN 9780781769372.
Cite This Article
  • APA Style

    Ala Mohammed Abd Elgyoum, Elrashed Abd Elrahim Mohammed, Ahmed Abdelrahim Mohammed. (2016). Case Report Diagnosing of Imperforate Hymen by Ultrasound. International Journal of Biomedical Materials Research, 4(3), 27-30. https://doi.org/10.11648/j.ijbmr.20160403.13

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    ACS Style

    Ala Mohammed Abd Elgyoum; Elrashed Abd Elrahim Mohammed; Ahmed Abdelrahim Mohammed. Case Report Diagnosing of Imperforate Hymen by Ultrasound. Int. J. Biomed. Mater. Res. 2016, 4(3), 27-30. doi: 10.11648/j.ijbmr.20160403.13

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    AMA Style

    Ala Mohammed Abd Elgyoum, Elrashed Abd Elrahim Mohammed, Ahmed Abdelrahim Mohammed. Case Report Diagnosing of Imperforate Hymen by Ultrasound. Int J Biomed Mater Res. 2016;4(3):27-30. doi: 10.11648/j.ijbmr.20160403.13

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  • @article{10.11648/j.ijbmr.20160403.13,
      author = {Ala Mohammed Abd Elgyoum and Elrashed Abd Elrahim Mohammed and Ahmed Abdelrahim Mohammed},
      title = {Case Report Diagnosing of Imperforate Hymen by Ultrasound},
      journal = {International Journal of Biomedical Materials Research},
      volume = {4},
      number = {3},
      pages = {27-30},
      doi = {10.11648/j.ijbmr.20160403.13},
      url = {https://doi.org/10.11648/j.ijbmr.20160403.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijbmr.20160403.13},
      abstract = {An imperforate hymen is a congenital disorder where a hymen without an opening completely obstructs the vagina. A16 year old, female, single with cyclic, lower abdominal pain, palpable supra-pubic mass and primary amenorrhea. Ultrasound show; well-defined echogenic fluid collection posterior to the urinary bladder, fluid with internal echoes in the uterine cavity the final diagnosis hematometrocolpos due to imperforate hymen.},
     year = {2016}
    }
    

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    T1  - Case Report Diagnosing of Imperforate Hymen by Ultrasound
    AU  - Ala Mohammed Abd Elgyoum
    AU  - Elrashed Abd Elrahim Mohammed
    AU  - Ahmed Abdelrahim Mohammed
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    T2  - International Journal of Biomedical Materials Research
    JF  - International Journal of Biomedical Materials Research
    JO  - International Journal of Biomedical Materials Research
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    AB  - An imperforate hymen is a congenital disorder where a hymen without an opening completely obstructs the vagina. A16 year old, female, single with cyclic, lower abdominal pain, palpable supra-pubic mass and primary amenorrhea. Ultrasound show; well-defined echogenic fluid collection posterior to the urinary bladder, fluid with internal echoes in the uterine cavity the final diagnosis hematometrocolpos due to imperforate hymen.
    VL  - 4
    IS  - 3
    ER  - 

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Author Information
  • College of Applied Medical Science, Taif University, Taif, Saudi Arabia

  • College of Applied Medical Science, Taif University, Taif, Saudi Arabia

  • Faculty of Radiology Science and Medical Imaging, Alzaiem Alazhari University, Khartoum North, Sudan

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