Dickson C A, Saad S, Tesar J D
Ann Emerg Med. 1985 May;14(5):467-9. doi: 10.1016/s0196-0644(85)80293-6.
Presented are two cases of imperforate hymen with hematocolpos seen in a pediatric emergency department (ED) during a seven-month period. The first case presented with abdominal pain, urinary obstruction, and constipation on initial visit. The diagnosis was not made on the initial presentation. The patient was seen a second time, and final diagnosis was not made until a third visit to the pediatric outpatient clinic. The second case presented with syncope and bilateral lower abdominal pain. Ultrasound and subsequent surgery confirmed the physical findings in the ED of imperforate hymen and hematocolpos. Both patients underwent hymenectomy, and they have experienced no further symptoms.
本文介绍了在七个月内于儿科急诊科（ED）接诊的两例处女膜闭锁伴阴道积血的病例。第一例患者初诊时表现为腹痛、尿路梗阻和便秘。初次就诊时未明确诊断。患者再次就诊，直到第三次前往儿科门诊才最终确诊。第二例患者表现为晕厥和双侧下腹痛。超声检查及随后的手术证实了急诊科关于处女膜闭锁和阴道积血的体格检查结果。两名患者均接受了处女膜切除术，此后未再出现症状。
