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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She was discharged on the third postoperative day, and was to be seen in the gynecological clinic in six weeks. Ultrasonographic diagnosis and assisted surgical management of hematotrachelos and hematometra due to uterine cervical atresia with associated vaginal agenesis. It is most commonly caused by an imperforate hymen or a transverse vaginal septum.


Am J Dis Child. Vaginal bleeding Postcoital bleeding. Ultrasound diagnosis of hematotrachelos: Endometrium Asherman’s syndrome Dysfunctional uterine bleeding Endometrial hyperplasia Endometrial polyp Endometriosis Endometritis. Persistent genital arousal disorder. From Wikipedia, the free encyclopedia. A related disorder is hematometrawhere the uterus fills with menstrual blood.

Hematometra and extended vaginal haematoma after laser conization. Look up hematocolpos in Wiktionary, the free dictionary.

Gynaecologic disorders Women’s health stubs. Bleeding disorders in teenagers presenting with menorrhagia. No conflict of interest was declared by the authors.

Early hemaocolpos of imperforate hymen in the fetus, newborn or in childhood and timed hymenotomy at menarche would have prevented the complications. Narrow diameter of the hymenal opening may have facilitated this process.

Written informed consent was obtained from the patient who participated in this study. The patient was discharged without complication. Only the central portion of the hymen can be excised as hymenotomy when there is the desire to preserve virginity. Thus, the underlying etiology of the obstruction in this patient was uncertain, and this case denotes an unusual cause of acquired spontaneous hematometra and hematocolpos developed following progestin use.


Our patient also had hematomwtra constipation and retention of urine. She had no known bleeding disorders.

Acquired obstruction of the lower female genital tract is rare. Journal of the American Medical Association. Obstruction of the female genital outflow tract is rare [ 78 ]. Hematometra or hemometra is a medical condition involving collection or retention of blood in the uterus. It occurs when the sinovaginal bulb fails to canalize with hematometta rest of the vagina.

Analysis of the Cochrane Review: The diagnosis of imperforate hymen in miss UG was delayed till after menarche when over mls of menstrual blood had accumulated as hematometra and hematocolpos. Transabdominal and transrectal ultrasounds can also assist in confirming the diagnosis of imperforate hymen [ 7 ]. Haematocervix after conization diagnosed by ultrasonography.

Cervical dysplasia Cervical incompetence Cervical polyp Cervicitis Female infertility Cervical stenosis Nabothian cyst. Noninflammatory disorders of female genital tract. This women’s health related article is a stub. Transabdominal ultrasound revealed a grossly dilated uterine cavity, and vagina that were containing Heterogeneous structures the largest being 90 mm in diameter were seen in the vaginal cavity.

Uterine hematooclpos due to obstruction of the lower female genital tract cause proximal dilatation and the occurrence of hematocolpos, hemaotmetra or hematometra are the most common problems defined hematomeyra congenital abnormalities [ 456 ]. Hematometra typically presents gematometra cyclic, cramping pain in the midline of the pelvis or lower abdomen. A transabdominal ultrasound obtained 2 days later showed resolution of the hematometrocolpos. Am J Obstet Gynecol. Pregnancy test was negative.


September 22, ; Accepted date: Hematocolpospelvic massprogestin.

Hematocolpos – Wikipedia

Other consequences or clinical implications that timed hymenotony with good surgical techniques can prevent include recurrence or closure of the opening, scarring of the edges of the hymen and dysparenuia, ascending pelvic infection and infertility, chronic pelvic pain, and ectopic gestation.

Neonatal and pediatric ultrasonography. Treatment of hematotrachelos bematocolpos dilatation and curettage. Int J Gynaecol Obstet.

Hematcoolpos is very hematocoppos in the treatment of both acute bleed and its maintenance therapy. Acute spontaneous hematotrachelos following methotrexate treatment of a suspected tubal pregnancy.

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. This article has been cited by other articles in PMC. Heterogeneous structures the largest being 90 mm in diameter were seen in hemxtometra uterine cavity. The incidence rates vary from 1 in to 1 in 10, females [ 1 ]. After one day, a chocolate-like fluid started to spill out from the vagina. Her abdomen was soft, with moderate tenderness of the lower abdomen without rebound.

Minimal trimming of the edges of the hymen was done to prevent defloration.