Fischer Jason W, Kwan Charisse W
From the Division of Pediatric Emergency Medicine, Ultrasound Program, The Hospital for Sick Children; and University of Toronto, Toronto, Ontario, Canada.
Pediatr Emerg Care. 2014 Feb;30(2):128-30. doi: 10.1097/PEC.0000000000000080.
A 12-year-old girl presented to the pediatric emergency department with a history of difficulty voiding and was found to have a firm, tender suprapubic mass on examination. Transabdominal emergency point-of-care ultrasound was used at the bedside to diagnose hematocolpometra due to an imperforate hymen. The diagnosis was confirmed by a comprehensive abdominal ultrasound and magnetic resonance imaging in the radiology suite. The patient was discharged on oral contraceptive medication and scheduled for an outpatient surgical hymenectomy following consultation with the gynecology service.
一名12岁女孩因排尿困难前往儿科急诊科就诊，检查发现耻骨上有一个质地坚硬、有压痛的肿块。床边采用经腹急诊床旁超声诊断为处女膜闭锁导致的经血潴留。放射科通过全面腹部超声和磁共振成像确诊。患者出院时服用口服避孕药，并在与妇科会诊后安排门诊进行处女膜切除术。
