Full text. Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (M), or click on a page. Ind Med Gaz. Jan;77(1) A Case of Hymen Imperforata. Paladhi MN(1). Author information: (1)Lohaghat Dispensary, Almora, Himalayas. PMCID. Perineal examination showed a bluish bulging hymen. Transabdominal ultrasonography revealed a dense mass in the pelvis measuring about.

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She was 13 years old and had not yet had a menstrual period, but did have pubic hair and breast buds, confirming the onset of puberty.

J Pediatr Orthop ; Published online May Overlooked diseases of the vagina: An unusual case of urinary retention due to imperforate hymen. Clitoromegaly Progestin-induced virilization Pseudohermaphroditism True hermaphroditism.

By using this site, you agree to the Terms of Use and Privacy Policy. The most common symptoms of an imperforate hymen are cyclical abdominal pain and urinary retention, usually presenting between the ages of 13 and 15 years when menarche occurs.

Imperforate Hymen – Symptoms, Diagnosis & Treatment | Everyday Health

Congenital disorders of female hyjen organs Anatomical pathology Pediatric gynecology. Saudi J Kidney Dis Transpl ; 9: Hematocolpometra presenting as urinary retention. Obstet Gynecol ; Acute urinary retention in the young female.


Imperforate hymen occurs due to a failure of recanalisation of this membranous vestige. J Emerg Med ; From Wikipedia, the free encyclopedia. Consider an imperforate hymen when there is a lack of menses in an adolescent girl with cyclical abdominal pain.

Symptoms and Signs in Pediatric Surgery. The diagnosis can be established with an abdominal ultrasound showing the pelvic cystic mass. Pediatr Surg Int ; Postoperative recovery was normal without any pain. Long-term follow-up of women who underwent surgical correction for imperforate hymen.

Imperforate hymen: a cause of abdominal pain in female adolescents

The diagnosis of an imperforate hymen is usually made based purely on the physical exam, although hymmen necessary the diagnosis can be confirmed by transabdominal, transperineal or transrectal ultrasound. It is seen in approximately 1 in females, although information on the true incidence is difficult to obtain.

It is important to be aware of this while examining a female adolescent presenting with cyclical abdominal pain and primary amenorrhea. Br J Urol ; It is caused by a failure of the hymen to perforate during fetal development. In a retrospective study of the long term results of surgical correction of imperforate hymen, nine of 15 patients had an irregular menstrual cycle and six of 15 patients had dysmenorrhea over a follow-up of 8. Imperforate hymen with bilateral hydronephrosis in a neonate.


The frequency of imperforate hymen in Northern Italy. Perineal examination showed a bluish bulging hymen. Parazzini F, Cecchetti G. Wilkinson and Stone Atlas of Vulvar Disease 3rd ed. Support Center Support Center. We diagnosed an imperforate hymen with haematocolpos and haematometra.

Treatment of imperforate hymen by application of Foley catheter. UrogenitalPaediatricsGynaecology. Usual initial imaging modality of diagnosis, it shows a distended fluid-filled vagina haematocolpos and uterus haematometra with internal echoes representing hemorrhage of various ages. Log in Sign up. Acute urinary retention in two patients with imperforate hymen.

The reason for non-perforation of this membrane is unknown. Edit article Share article View revision history. Both the ovaries were normal.

It is seen in approximately 1 in females. Unable to process the form.