Tedyanto Cecilia Putri, Dewi Sianty, Santoso Fransiscus Iman, Ere Maria Aloysia Praldinya, Oeylex Kevan Ryvanto
Faculty of Medicine, Universitas Katolik Widya Mandala Surabaya, Surabaya, Indonesia.
Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Katolik Widya Mandala Surabaya, Surabaya, Indonesia.
Int Med Case Rep J. 2024 Nov 28;17:985-989. doi: 10.2147/IMCRJ.S494697. eCollection 2024.
Imperforate hymen is a rare congenital anomaly that can cause mild to severe complications, which leads to an increase in morbidity rates. The incidence is 1:1000, and there was often a delay in diagnosis since the symptoms were not specific until it caused several complications in other organ systems. We reported a case of obstructive uropathy and constipation in an 11-year-old girl who presented with huge hematocolpos due to imperforate hymen. The main symptom was severe lower abdominal pain with a visual analogue scale of 8. This case shows the significance of a physical examination in diagnosing, increasing efficiency in terms of time and cost, and supporting an earlier diagnosis. A corrective hymenectomy, blood drainage, and hymenoplasty were performed as the definitive management. The patient was able to urinate and defecate within seven hours after surgery. The patient also had her period three weeks after surgery.
处女膜闭锁是一种罕见的先天性异常，可导致轻度至重度并发症，从而导致发病率增加。发病率为1:1000，由于症状不具特异性，往往在其他器官系统出现多种并发症之前诊断延迟。我们报告了一例11岁女孩因处女膜闭锁导致巨大阴道积血，出现梗阻性尿路病和便秘的病例。主要症状是严重的下腹痛，视觉模拟评分8分。该病例显示了体格检查在诊断中的重要性，在时间和成本方面提高了效率，并有助于早期诊断。作为最终治疗，进行了处女膜切开术、血液引流和处女膜成形术。患者术后7小时内能够排尿和排便。患者术后三周也来了月经。
