Department of Surgery, University College of Medical Sciences, Delhi, India.
Division of Neonatology, Bai Jerbai Wadia Hospital for Children, Mumbai, India.
Pan Afr Med J. 2022 Jan 7;41:18. doi: 10.11604/pamj.2022.41.18.32582. eCollection 2022.
Imperforate hymen is an uncommon congenital anomaly of the female genital tract and can lead to the collection of blood in the vagina and the uterus. Most patients are not diagnosed until menarche when they present with symptoms such as cyclic abdominal and pelvic pain, constipation, tenesmus, back pain, and difficulties with urination in association with lack of menses. We discuss the case of an adolescent female who presented with the complaint of an increasing abdominal swelling along with the urgency and a sense of incomplete urination. She had not attained menarche. A diagnosis of hematometrocolpos was made based on computed tomography findings. Subsequent perineal examination revealed a bulging imperforate hymen. Hymenotomy was performed with complete resolution of the symptoms. This case highlights the importance of keeping a high index of suspicion for this condition in patients presenting with these symptoms and the importance of appropriate gynecologic examination.
处女膜闭锁是女性生殖道罕见的先天性异常，可导致阴道和子宫内血液积聚。大多数患者直到初潮时才被诊断出来，此时她们会出现周期性的腹痛和骨盆痛、便秘、里急后重、背痛以及与月经缺失相关的排尿困难等症状。我们讨论了一名青春期女性的病例，她主诉腹部肿胀逐渐增大，伴有尿急和排尿不尽感。她还没有初潮。根据计算机断层扫描结果诊断为阴道积血。随后的会阴检查显示处女膜未穿孔。行处女膜切开术，症状完全缓解。本病例强调了对出现这些症状的患者保持高度怀疑该病症的重要性，以及进行适当的妇科检查的重要性。
