处女膜闭锁合并巨大阴道积血的延迟诊断：一例报告。
Delayed diagnosis of imperforate hymen with huge hematocolpometra: A case report.
作者信息
Jang Eunbi, So Kyeong A, Kim Bomin, Lee A Jin, Kim Nae Ri, Yang Eun Jung, Shim Seung-Hyuk, Lee Sun Joo, Kim Tae Jin
机构信息
Department of Obstetrics and Gynecology, Konkuk University School of Medicine, Seoul 05030, South Korea.
出版信息
World J Clin Cases. 2021 Oct 16;9(29):8901-8905. doi: 10.12998/wjcc.v9.i29.8901.
BACKGROUND
Imperforate hymen is a rare obstructive anomaly of the female reproductive tract. It is associated with complications, such as cyclical abdominal pain, urinary retention, and pelvic mass.
CASE SUMMARY
A 13-year-old girl presented several times to the emergency room with lower abdominal pain for a year. She received conservative treatment, such as pain control, at each visit. She visited our gynecological clinic for worsening pain, and a 14-cm hematocolpos was found on ultrasonography. She was finally diagnosed with an imperforate hymen with hematocolpometra. Hymenectomy was performed, which resulted in event-free regular cyclical menstruation.
CONCLUSION
Imperforate hymen should be considered in a premenarcheal adolescent girl with periodic abdominal pain.
背景
处女膜闭锁是一种罕见的女性生殖道梗阻性畸形。它与诸如周期性腹痛、尿潴留和盆腔肿块等并发症相关。
病例摘要
一名13岁女孩因下腹痛一年多次前往急诊室就诊。每次就诊时她都接受了如疼痛控制等保守治疗。她因疼痛加剧前来我们的妇科门诊，超声检查发现有一个14厘米的阴道积血。她最终被诊断为处女膜闭锁伴阴道子宫积血。实施了处女膜切开术，术后月经规律且无异常情况。
结论
对于有周期性腹痛的青春期前少女，应考虑处女膜闭锁的可能。
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