闭经的罕见原因：膀胱膨出修补术后患者的阴道积血。
A rare cause of amenorrhea: Hematocolpos in a post-cystocele repair patient.
作者信息
Mohammed Tibyan Noorallah, Elgadi Ammar, Nuri Gamal Mohi Eldeen
机构信息
Faculty of Medicine University of Khartoum Khartoum Sudan.
Obstetrics and Gynecology Department Atbara Teaching Hospital Khartoum Sudan.
出版信息
Clin Case Rep. 2024 Apr 8;12(4):e8766. doi: 10.1002/ccr3.8766. eCollection 2024 Apr.
KEY CLINICAL MESSAGE
Secondary hematocolpos is a rare but serious complication after cystocele repair. This warrants multidisciplinary management (gynecology and urology) to optimize outcomes & minimize iatrogenic risks.
ABSTRACT
Hematocolpos is the term used for the accumulation of menstrual blood in the vagina. It is most commonly seen in adolescent girls but can also occur in elderly women as a result of gynecological conditions. We present the case of a 48-year-old female who presented with amenorrhea and abdominal pain following surgical repair of a cystocele. Investigation revealed secondary hematocolpos due to surgical trauma. Surgical drainage and correction of the uterus were performed, resulting in immediate pain relief. This case underscores the importance of considering hematocolpos in patients with post-surgical amenorrhea, and further research is needed to better understand its causes, risk factors, and optimal management strategies.
关键临床信息
继发性阴道积血是膀胱膨出修补术后一种罕见但严重的并发症。这需要多学科管理（妇科和泌尿外科）以优化治疗效果并将医源性风险降至最低。
摘要
阴道积血是指月经血在阴道内积聚。它最常见于青春期女孩，但也可能由于妇科疾病而发生在老年女性中。我们报告了一例48岁女性病例，该患者在膀胱膨出手术修复后出现闭经和腹痛。检查发现是手术创伤导致的继发性阴道积血。进行了手术引流和子宫矫正，疼痛立即缓解。该病例强调了在术后闭经患者中考虑阴道积血的重要性，并且需要进一步研究以更好地了解其病因、危险因素和最佳管理策略。
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