Imperforate Hymen Presenting with Massive Hematometra and Hematocolpos: A Case Report . Figure 2: Evacuation of hematocolpos and heamatometra. Hematometra a nd Hematocolpos: Ultrasound. Findings. x/79/ lolo. $ JOACHIM. F. SAILER’. An imperforate hymen is the most. A large hematometra and hematocolpos were detected by transabdominal ultrasound scanning. Transabdominal ultrasound depicted a distended uterus 90 mm.

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Hematometra – Wikipedia

Pelvic congestion syndrome Pelvic inflammatory disease. Hematometga definite management of imperforate hymen is surgical excision of the hymen from the base hymenecotomy and evacuation of the accumulated menstrual blood from the vagina and the uterus. J Minim Invasive Gynecol.

Can’t read the image? Vaginal bleeding Postcoital bleeding. Some authorities believe that hymenotomy is simple and can be done even in newborns [ 4 ]. Hematocolpos is a medical condition in which the vagina fills with menstrual blood.

Imperforate Hymen Presenting with Massive Hematometra and Hematocolpos: A Case Report

Retrieved from ” https: Haematocervix after conization diagnosed by ultrasonography. A report of two cases. Menorrhagia in adolescents with inherited bleeding disorders. Look up hematocolpos in Wiktionary, the free dictionary.

You can help Wikipedia by expanding it. Support Center Support Center. Antifibrinolytics have the effect of halting the lysis of clots occurring at the hematoco,pos of the clotting cascade thus improving the clotting process.


Hematocolpos – Wikipedia

Our patient and her mother were counseled about this issue of defloration during surgery. The diagnosis and treatment of this situation includes a careful physical, and ultrasonographic examinations, and laboratory tests to exclude other diagnoses such as bleeding disorders, anatomic and endocrine causes.

Minimal edges of the hymen were excised in our patient as were done by other authors [ 28 ]. Clinicians should have high index of suspicision of imperforate hymen for them to make early diagnosis of these bizarre and challenging modes of presentations of the complications of untreated imperforate hymen. She was pale because of heavy bleeding for 5 days and hemoglobin level was measured as 5. Antifibrinolytics have been reported to decrease bleeding in about half of the women with HMB and can be administered in combination with contraceptive methods [ 20 ].

In addition, HMB episodes may occur because of disruptions or abnormalities of the coagulation cascade [ 1 ]. Home Publications Conferences Register Contact. Antenatal ultrasound can also detect the bulging imperforate hymen due to the accumulation of hydrocolpos or mucocolpos in the female fetus that occurred in response to maternal oestrogens. American Journal of Medical Genetics.


September 22, ; Accepted date: Human Malformations and Related Anomalies. After one day, a chocolate-like fluid started to spill out from the vagina.

B Transabdominal sonographic view showing the markedly distended vagina measuring This case shows that a careful history and examination is very important in the recognition of a rarely seen life-threatening menorrhagic episodes arising from usage of progestin with the intention to delay the menstrual cycle.

Age and the prevalence of bleeding disorders in women with menorrhagia. Both ovaries were observedly normal. There is not enough data as yet to recommend one specific type of COC over any other [ 21 ].

Although hematometra can often be diagnosed based purely on the patient’s history of amenorrhea and cyclic abdominal pain, as well as a palpable pelvic mass on examination, the diagnosis can be confirmed by ultrasoundwhich will show blood pooled in the uterus and an enlargement of the uterine cavity. Imperforate hymen is a rare congenital malformation that closes the vagina outflow tract causing accumulation of mucus, fluid and menstrual blood.

There can be four possible causes of Hematocolpos [12].