微孔处女膜与脓性阴道积脓：一例报告及文献综述
Microperforate Hymen and Pyocolpos: A Case Report and Review of the Literature.
作者信息
Tardieu Stephanie C, Appelbaum Heather
机构信息
Department of Obstetrics and Gynecology, Division of Pediatric and Adolescent Gynecology, North Shore-Long Island Jewish University Hospital, Hofstra Northwell School of Medicine, New Hyde Park, New York.
Department of Obstetrics and Gynecology, Division of Pediatric and Adolescent Gynecology, North Shore-Long Island Jewish University Hospital, Hofstra Northwell School of Medicine, New Hyde Park, New York.
出版信息
J Pediatr Adolesc Gynecol. 2018 Apr;31(2):140-142. doi: 10.1016/j.jpag.2017.08.006. Epub 2017 Aug 31.
BACKGROUND
Microperforate hymen is a rare congenital anomaly characterized by a small pinpoint opening in the hymen; girls with this anomaly are prone to develop ascending pelvic infections and recurrent urinary tract infections.
CASE
We report the case of a 3-year-old girl who presented with fevers, abdominal pain, recurrent vaginitis, and dysuria. She was found to have a microperforate hymen and pyocolpos. She was treated with intravenous antibiotics and underwent hymenotomy and drainage of 150 cc of purulent fluid.
SUMMARY AND CONCLUSION
This case highlights the need to perform thorough genital inspection and to consider hymenal anomalies in the differential diagnosis of girls who present with recurrent dysuria, vaginitis, fevers, and abdominal pain. Early intervention might prevent the development of pyocolpos and other sequelae associated with this anomaly.
背景
微孔处女膜是一种罕见的先天性异常，其特征为处女膜上有一个微小的针孔状开口；患有这种异常的女孩容易发生上行性盆腔感染和复发性尿路感染。
病例
我们报告一名3岁女孩的病例，她出现发热、腹痛、复发性阴道炎和排尿困难。检查发现她患有微孔处女膜和脓性阴道积脓。她接受了静脉抗生素治疗，并接受了处女膜切开术，排出了150毫升脓性液体。
总结与结论
该病例强调，对于出现复发性排尿困难、阴道炎、发热和腹痛的女孩，在鉴别诊断时需要进行全面的生殖器检查并考虑处女膜异常。早期干预可能会预防脓性阴道积脓及与此异常相关的其他后遗症的发生。
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