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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Female infertility Fallopian tube obstruction Hematosalpinx Hydrosalpinx Salpingitis. They opted for a virginity-preserving hymenotomy. She had virginity-preserving hymenotomy and evacuation of about mls of accumulated coffee-colored menstrual blood.

Constipation, urinary retention and infection, pelvic infection and tubo-ovarian abscess, hematosalpix, and endometrosis are the other reported symptomatic presentations of imperforate hymens when treatments were delayed [ 3 – 6 ].

The underlying etiology of hematocolpoos acquired obstructed cervix in the patient presented here is not as yet fully understood.

She was discharged on the third postoperative day, and was to be seen in the gynecological clinic in six weeks. Netter’s Obstetrics and Gynecology. B Transabdominal sonographic view showing the markedly distended vagina measuring This women’s health related article is a stub.

Bleeding disorders in teenagers presenting with menorrhagia. Obstruction of the female genital outflow tract is rarely seen. Coagulated blood bulging outwards from the hymen opening was observed. Haematocervix after conization diagnosed by ultrasonography. Antifibrinolytics have the effect of halting the lysis of clots occurring at the end of the clotting cascade thus improving the clotting process. 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 ].


A report of two cases. Narrow diameter of the hymenal opening may have facilitated this process.

Bleeding disorders in hemaocolpos. Her gynecological history included menarche at 14 years of age. Bartholin’s cyst Kraurosis vulvae Vestibular papillomatosis Vulvitis Vulvodynia.

The hematocolpo, ureters, uterus and ovaries were normal. This article has been cited by other articles in PMC. Overview of bleeding disorders in adolescent females with menorrhagia. She was initially treated with blood transfusion eight units of packed red blood cells and four units of packed fresh-frozen plasma were transfused and hemostasis was achieved rapidly using high doses of combined oral contaceptive ethinyl estradiol 0.

Journal of Clinical Ultrasound. Guidelines Upcoming Special Issues.

Hematometra – Wikipedia

Diagnosis and management of hydrohematometrocolpos syndromes. High index of suspicion is required for early diagnosis and treatment before the complications like massive hematometra and hematocolpos occur. Support Center Support Center. Age and the prevalence of bleeding disorders in women with menorrhagia.

Antibiotics for acute otitis media in children. Agri and Aquaculture Journals Dr.


She admitted to occasional episodes of constipation and urinary retention. A transabdominal ultrasound obtained 2 days later showed resolution of the hematometrocolpos. Female diseases of the pelvis and genitals N70—N99— Views Read Edit View history. Cervical dysplasia Cervical incompetence Cervical polyp Cervicitis Female infertility Cervical stenosis Nabothian cyst. Congenital abnormalities resulting in hematometrocolpos include imperforate hymen, a complete transverse vaginal septum, vaginal and, rarely, cervical atresia [ 789 ].

Hematometra develops when the uterus becomes distended with blood secondary to obstruction or atresia of the lower reproductive tract—the uterus, cervix or vagina —which would otherwise provide an outflow for menstrual blood. Transabdominal and transrectal ultrasounds can also assist in confirming the diagnosis of imperforate hymen [ 7 ]. Noninflammatory disorders of female genital tract. Treatment of hematotrachelos after dilatation and curettage.


The urethra was catheterized to avoid its iatrogenic damage before about 1. Additionally, hematometra may develop as a complication of uterine or cervical surgery such as endometrial ablationwhere scar tissue in the endometrium can “wall off” sections of endometrial glands and stroma causing blood to accumulate in the uterine cavity.

Dyspareunia Hypoactive sexual desire disorder Sexual arousal disorder Vaginismus. Obstruction of the female genital outflow tract is rare [ 78 ]. It is generally treated surgically, with a hymenotomy or other surgery to remove any tissue that blocks the menstrual flow.

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

This page was last edited on 22 Septemberat The differential diagnoses of imperforate hymen include vaginal septum, vaginal agenesis, vaginal cyst, ectopic ureter with ureterocele, hymenal cyst and hemayocolpos cyst. Published online Aug 3. Her transabdominal ultrasound revealed massive hematometra and hematocolpos. Both ovaries were observedly normal. Infobox medical condition new All stub articles. Female infertility Fallopian tube obstruction Hematosalpinx Hydrosalpinx Salpingitis.

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.