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隐匿性梗阻：一名患有阴道闭锁的年轻青少年发生子宫积血和阴道积血的罕见病例。

Hidden obstruction: A rare case of hematometrocolpos in a young adolescent with vaginal atresia.

作者信息

Toscano Francesco, Bellone Italo Giuseppe, Musolino Antonio, Versace Paolo

机构信息

S.O.C Radiology, Spoke Hospital of Locri, Locri, RC, Italy.

S.C. Pediatrics and Neonatology, Spoke Hospital of Locri, Locri, RC, Italy.

出版信息

Radiol Case Rep. 2024 Nov 13;20(1):727-731. doi: 10.1016/j.radcr.2024.10.036. eCollection 2025 Jan.

DOI:10.1016/j.radcr.2024.10.036
PMID:39619682
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11605346/
Abstract

Hematometrocolpos is a condition characterized by the accumulation of menstrual blood in the uterus and vagina due to an obstruction, often caused by congenital malformations such as vaginal atresia or imperforate hymen. A 12-year-old girl presented with acute pelvic pain and absence of menarche. Ultrasound ruled out ovarian pathology but revealed distension of the cervix and vagina. MRI confirmed hematometrocolpos and third middle and distal vaginal atresia. MRI is crucial for diagnosing genital malformations and differentiating hematometrocolpos from other gynecological conditions. Surgical correction was successful, alleviating symptoms and preventing future complications.

摘要

经血潴留阴道是一种由于梗阻导致经血在子宫和阴道积聚的病症，通常由先天性畸形如阴道闭锁或处女膜闭锁引起。一名12岁女孩出现急性盆腔疼痛且无月经初潮。超声检查排除了卵巢病变，但显示宫颈和阴道扩张。磁共振成像（MRI）确诊为经血潴留阴道及阴道中下段闭锁。MRI对于诊断生殖器畸形以及区分经血潴留阴道与其他妇科病症至关重要。手术矫正成功，缓解了症状并预防了未来的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d9c/11605346/59aa1330fd5f/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d9c/11605346/8528b435b1fd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d9c/11605346/2809519584c3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d9c/11605346/a96be3f65bd7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d9c/11605346/2eafcea996f4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d9c/11605346/908258f5c133/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d9c/11605346/666d7aa1188f/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d9c/11605346/59aa1330fd5f/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d9c/11605346/8528b435b1fd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d9c/11605346/2809519584c3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d9c/11605346/a96be3f65bd7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d9c/11605346/2eafcea996f4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d9c/11605346/908258f5c133/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d9c/11605346/666d7aa1188f/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d9c/11605346/59aa1330fd5f/gr7.jpg

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本文引用的文献

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Congenital anomalies causing hemato/hydrocolpos: imaging findings, treatments, and outcomes.先天性异常导致的血液/积水性阴户：影像学表现、治疗方法和结局。
Jpn J Radiol. 2021 Aug;39(8):733-740. doi: 10.1007/s11604-021-01115-7. Epub 2021 Apr 11.
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Clinical features of congenital complete vaginal atresia combined with cervical aplasia: A retrospective study of 19 patients and literature review.先天性完全阴道闭锁合并宫颈发育不全的临床特征：19 例回顾性研究及文献复习。
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Typical and atypical pelvic MRI characteristics of Mayer-Rokitansky-Küster-Hauser syndrome: a comprehensive analysis of 201 patients.
梅克尔-罗基坦斯基-库斯特-豪泽综合征的典型和非典型盆腔 MRI 特征：201 例患者的综合分析。
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Characterization of tubo-ovarian abscess mimicking adnexal masses: Comparison between contrast-enhanced CT, F-FDG PET/CT and MRI.模仿附件肿块的输卵管卵巢脓肿的特征：对比增强CT、F-FDG PET/CT和MRI之间的比较
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Acute Gynecologic Disorders.急性妇科疾病
Radiol Clin North Am. 2015 Nov;53(6):1293-307. doi: 10.1016/j.rcl.2015.06.012.
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A case of McKusick-Kaufman syndrome.一例麦库西克-考夫曼综合征病例。
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