Ibishi Vlora Ademi, Latifi Hajrullah, Ibishi Lena
Medical Faculty, University of Prishtina" Hasan Prishtina", Prishtina, Kosovo.
Obstetrics and Gynecology Clinic, University Clinical Center of Kosova, Prishtina, Kosovo.
Radiol Case Rep. 2023 Sep 13;18(11):4119-4122. doi: 10.1016/j.radcr.2023.08.098. eCollection 2023 Nov.
An imperforate hymen is a rare malformation present at birth; however, in most cases, diagnosis is missed until adolescence, when hematocolpometra and its symptoms develop. At this stage, every further delay in diagnosis and treatment will negatively affect the quality of life of young females. It may also be one of the causes of endometriosis and its consequences, such as subfertility. Sonography of the pelvis and physical examination are the diagnostic modalities of choice for diagnosing hematocolpometra and imperforate hymen. We present a case of a 14-year-old patient admitted to the obstetrics and gynecology clinic with complaints of lower abdominal pain and urinary retention following dysuria. The patient was previously examined by a family doctor who misidentified the issue and treated it as a urinary infection. After the symptoms worsened, the patient was referred to a gynecologist. An ultrasound examination showed a distended vagina and uterus, suggesting hematocolpometra, and after further inspection, it was revealed to be caused by an imperforate hymen. A hymenectomy was performed, and about 900 mL of blood was drained. Symptoms and complaints ceased, and the patient was discharged the next day.
处女膜闭锁是一种出生时就存在的罕见畸形；然而，在大多数情况下，直到青春期出现阴道积血及其症状时才会被诊断出来。在此阶段，诊断和治疗的每一次进一步延迟都会对年轻女性的生活质量产生负面影响。它也可能是子宫内膜异位症及其后果（如生育力低下）的原因之一。盆腔超声检查和体格检查是诊断阴道积血和处女膜闭锁的首选诊断方法。我们报告一例14岁患者，因排尿困难后出现下腹痛和尿潴留而入住妇产科诊所。该患者此前由家庭医生检查，医生误诊了问题并将其当作泌尿系统感染进行治疗。症状恶化后，患者被转诊至妇科医生处。超声检查显示阴道和子宫扩张，提示阴道积血，进一步检查后发现是由处女膜闭锁引起的。进行了处女膜切开术，排出了约900毫升血液。症状和不适消失，患者于次日出院。
