Carlson R L, Garmel G M
Department of Emergency Medicine, Kaiser Permanente Medical Center, Santa Clara, California.
Ann Emerg Med. 1992 Aug;21(8):1006-8. doi: 10.1016/s0196-0644(05)82945-2.
Imperforate hymen should be considered in girls of menarcheal age with a history of amenorrhea and vague abdominal discomfort, particularly if associated with symptoms of urinary obstruction or constipation. Patients may present with severe dysmenorrhea and localized pain mimicking appendicitis if hematocolpometra is due to unilaterally imperforate hymen with duplicate vagina and didelphic uterus. Although this condition is exceedingly rare, the case presented stresses the importance of a careful history and physical examination of an adolescent girl presenting with symptoms of abdominal pain associated with menstruation.
对于初潮年龄的女孩，如有闭经病史且伴有腹部隐痛，尤其是伴有尿路梗阻或便秘症状时，应考虑处女膜闭锁。如果经血积于阴道是由于单侧处女膜闭锁合并双阴道和双子宫所致，患者可能会出现严重痛经和类似阑尾炎的局部疼痛。尽管这种情况极为罕见，但本文所报道的病例强调了对出现与月经相关腹痛症状的青春期女孩进行详细病史询问和体格检查的重要性。
