Boudhrâa Khaled, Ouhibi Janet, Kassaaoui Amor, Gara Med Faouzi
Department of Obstetrics and Gynecology, Mongi Slim Hospital, La Marsa, Tunis.
Tunis Med. 2007 Nov;85(11):970-4.
To document the means of diagnosis and treatment of the exceptional malformation hematocolpos with imperforate hemi-vagina and duplicated uterus
Cases of four patients treated at La Marsa University Hospital, in the Department of Obstetrics and Gynecology between 2000 and 2004, were reported. Mean age=17.2 years (range: 15-22 years). Three left hematocolpos and a right one are observed. All patients underwent vaginal conservative surgical treatment (excision of vaginal septum) +/- radical treatment: hemi- colpohysterectomy in case of failure of conservative treatment. The clinical presentation was a primary dysmenorrhea associated with a pelvic collection. An ipsilateral renal agenesis is present in all cases. Sonography is essential to assess the diagnosis of renal anomalies. Pelvic MRI is the most important examination. It accurately localises the different collections and identifies their content. Conservative surgical management was effective in three cases out of four.
记录诊断和治疗罕见的阴道积血合并半阴道闭锁及双子宫畸形的方法。
报告了2000年至2004年间在拉马尔萨大学医院妇产科治疗的4例患者。平均年龄 = 17.2岁（范围：15 - 22岁）。观察到3例左侧阴道积血和1例右侧阴道积血。所有患者均接受了阴道保守性手术治疗（切除阴道纵隔）+/-根治性治疗：保守治疗失败时行半阴道子宫切除术。临床表现为原发性痛经伴盆腔积液。所有病例均存在同侧肾缺如。超声检查对评估肾异常的诊断至关重要。盆腔磁共振成像（MRI）是最重要的检查。它能准确地定位不同的积液并确定其内容物。4例中有3例保守性手术治疗有效。
