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[血性阴道积血导致的尿潴留]

[Urinary Retention Due to Hematocolpos].

作者信息

Silva Íris Santos, Martello Renata, Mendes António, Chaves Albertino

机构信息

Serviço de Pediatria. Hospital Sousa Martins. Unidade Local de Saúde da Guarda. Guarda. Portugal.

Serviço de Ginecologia e Obstetrícia. Hospital Sousa Martins. Unidade Local de Saúde da Guarda. Guarda. Portugal.

出版信息

Acta Med Port. 2021 Mar 1;34(3):232-235. doi: 10.20344/amp.11912. Epub 2020 Sep 18.

Abstract

Hematocolpos is an obstruction of the menstrual flow due to an anomaly of the genital tract, with imperforate hymen being the most common one. It is an uncommon condition, with a prevalence of 1:1000 - 1:16 000. It is usually an asymptomatic condition until the onset of menarche, when there is accumulation of blood in the vagina (hematocolpos) or in the uterus (hematometra). A rare symptom of hematocolpos could be urinary retention. Our case report is about a 12-year-old girl, with no menarche and Tanner stage M4/P5, who was admitted to our emergency department with abdominal pain and urinary retention. A brief review of this rare condition is presented, in order to remind clinicians about its existence, so that it can be diagnosed and treated as quickly as possible.

摘要

阴道积血是由于生殖道异常导致月经血流受阻,处女膜闭锁是最常见的原因。这是一种罕见疾病,患病率为1:1000至1:16000。通常在初潮前无症状,初潮时阴道(阴道积血)或子宫(子宫积血)内会有血液积聚。阴道积血的一种罕见症状可能是尿潴留。我们的病例报告是关于一名12岁女孩,未初潮,坦纳分期为M4/P5,因腹痛和尿潴留入住我们的急诊科。本文简要回顾了这种罕见疾病,以提醒临床医生其存在,以便能尽快诊断和治疗。

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