scholarly journals A Rare Case of Imperforate Hymen Presenting with Perineal Pain

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Zacharis K ◽  
◽  
Klimatsouda M ◽  
Donoudis C ◽  
Valasoulis G ◽  
...  
Keyword(s):  
Adolescent Girl ◽  
Reproductive Tract ◽  
Lower Abdominal Pain ◽  
Female Reproductive Tract ◽  
Perineal Pain ◽  
Effective Management ◽  
Imperforate Hymen ◽  
Menstrual Cycles ◽  
Delayed Treatment

Introduction: Imperforate hymen is a rare local fusion anomaly of the female reproductive tract and diagnosis can be easily missed. Cyclic lower abdominal pain and amenorrhea are common symptoms in cases left untreated after menarche. Perineal pain may be an unusual presenting symptom of imperforate hymen. In order to avert complications related to delayed treatment, hymenotomy is considered effective management. Case Report: We herein describe a case of a 13-year-old adolescent girl with an imperforate hymen presenting with lower abdominal and perineal pain. The girl underwent and hymenotomy and postoperative period was uneventful. Perineal and pelvic pain relieved instantly after surgical treatment and during follow up her menstrual cycles were regular.

scholarly journals Imperforate hymen: a rare cause of tenesmus

2020 ◽  
Vol 19 (3) ◽  
pp. 145-148
Author(s):  
Konstantinos Zacharis ◽  
Stavros Kravvaritis ◽  
Eleni Chrysafopoulou ◽  
Theodoros Charitos ◽  
Anastasia Fouka
Keyword(s):  
Abdominal Pain ◽  
Reproductive Tract ◽  
Gastrointestinal Symptoms ◽  
Lower Abdominal Pain ◽  
Female Reproductive Tract ◽  
Imperforate Hymen ◽  
Gynecological Examination ◽  
Atypical Clinical Presentation ◽  
Late Treatment

Imperforate hymen is an uncommon obstructive anomaly of the female reproductive tract for which early diagnosis is easy to miss. Untreated cases after menarche may cause cyclic lower abdominal pain and amenorrhea. Hymenotomy is considered proper management in order to avoid complications associated with late treatment. We report a case of an imperforate hymen in a 13-year-old adolescent girl presenting with tenesmus and acute lower abdominal pain. The patient was treated with hymenotomy and postoperative period was uneventful. Tenesmus and lower abdominal pain resolved immediately after surgery and during follow up the girl reported normal menstrual cycles. According to our case, tenesmus may be an atypical clinical presentation of imperforate hymen. Therefore, imperforate hymen should not be eliminated from differential diagnosis when it comes to adolescent females with abdominal pelvic pain and gastrointestinal symptoms and gynecological examination should be performed.

scholarly journals Cryptomenorrhoea due to imperforate hymen: a case report

2019 ◽  
Vol 8 (7) ◽  
pp. 2946
Author(s):  
Romi Bansal ◽  
Priyanka . ◽  
Sneha .
Keyword(s):  
Female Genital Tract ◽  
Lower Abdominal Pain ◽  
Tanner Stage ◽  
Urogenital Sinus ◽  
Imperforate Hymen ◽  
Satisfactory Condition ◽  
Stage 4 ◽  
Complete Failure ◽  
Axillary Hair

Imperforate hymen is a rare obstructive congenital anomaly of the female genital tract which arises as a result of complete failure of canalisation of the inferior end of the vaginal plate at the junction between the urogenital sinus and the vagina. Its prevalence is 0.05%-0.1%. We are presenting a case of 14 years old girl who came with complaints of lower abdominal pain since 10 days not associated with nausea, vomiting and diarrhoea. She had not attained menarche but her secondary sexual characters were developed with breast, pubic and axillary hair in tanner stage 4. MRI revealed hematocolpos and hematometra with imperforate hymen. Hymenotomy was performed and 300-400 ml of thick tarry colour blood was drained. Her postoperative period was uneventful, and patient was discharged in satisfactory condition. On follow up after 1 month, patient resumed normal menses.

scholarly journals An interesting rare case of spontaneous pregnancy with imperforate hymen and high transverse vaginal septum with bicornuate uterus

2016 ◽  
Vol 6 (1) ◽  
pp. 341
Author(s):  
Bharathi KR ◽  
Vijayalakshmi S. ◽  
Divya Alamelu N.
Keyword(s):  
Reproductive Tract ◽  
Genetic Mutation ◽  
Interesting Case ◽  
Female Reproductive Tract ◽  
Vaginal Septum ◽  
Imperforate Hymen ◽  
Bicornuate Uterus ◽  
Spontaneous Pregnancy ◽  
Transverse Vaginal Septum ◽  
Huge Impact

Congenital anatomic disorders of the female reproductive tract may result from genetic mutation, developmental arrest and abnormal hormonal exposure during embryonic development. These anomalies have a huge impact on the woman’s menstrual, sexual and reproductive functions. Pregnancy with these anatomic disorders is quite challenging. Here we present a rare interesting case of spontaneous pregnancy with multiple anatomic disorders namely- imperforate hymen, high transverse vaginal septum and bicornuate uterus.

Pseudoacute abdomen in female caused by haematometrocolpos and haematosalpinx because hymen imperforatus: diagnosis and therapy of imperforate hymen

Open Medicine ◽  
2007 ◽  
Vol 2 (3) ◽  
pp. 351-355 ◽  
Author(s):  
Mirna Erman-Vlahović ◽  
Dubravko Habek ◽  
Ivan Vlahović ◽  
Mirna Bobić
Keyword(s):  
General Anaesthesia ◽  
Clinical Examination ◽  
Abdominal Mass ◽  
Transabdominal Ultrasound ◽  
Imperforate Hymen ◽  
Postoperative Course ◽  
Menstrual Cycles ◽  
History Of ◽  
Clinical Pictures

AbstractWe present a case of atresia hymenalis in a 12.5 year old female who was admitted to gynecological emergency with a history of severe lower abdominal pains over the course of a few months. Provided are clinical pictures of the “Pseudoacute abdomen”. Upon clinical examination, we found blue, shiny, bulging and imperforated hymen. An abdominal mass was palpated in the vicinity of the navel. Transabdominal ultrasound demonstrated mass filled with thick liquid. “Mercedes hymenal incision” was performed in general anaesthesia. About 1.2 litre of dark, thick blood was removed. Postoperative course was uneventful. The two years of follow-up were characterized with regular psychomotoric development for the age with regular menstrual cycles.

scholarly journals Cervical Dysgenesis with Transverse Vaginal Septum with Imperforate Hymen in an 11 year old Girl Presenting with Acute Abdomen

2013 ◽  
Vol 52 (189) ◽  
pp. 281-284 ◽  
Author(s):  
Pratiksha Gupta ◽  
Sangeeta Gupta ◽  
Sunita Jindal ◽  
Kanwaljeet Chopra ◽  
Manjari Sinha ◽  
...  
Keyword(s):  
Reproductive Tract ◽  
Female Reproductive Tract ◽  
Successful Outcome ◽  
Careful Evaluation ◽  
Vaginal Septum ◽  
Imperforate Hymen ◽  
Simple Mode ◽  
Transverse Vaginal Septum ◽  
Future Fertility ◽  
The Right

This case highlights the importance of careful evaluation of girls presenting with imperforate hymen as this is accompanied by other female reproductive tract anomalies. It is of utmost importance that a correct timely diagnosis is made so that the right treatment can be chosen with the perspective of future fertility. Cervical dysgenesis associated with vaginal septum and imperforate hymen has not been reported in literature so far. Present case highlights the simple mode of management with a successful outcome. Keywords: cervical dysgenesis; imperforate hymen; transverse vaginal septum.

Effect of Contraceptive Steroids on the Endometrium of Guinea Pig: SEM study

1977 ◽  
Vol 35 ◽  
pp. 668-669
Author(s):  
Mai M. Said ◽  
Ramesh K. Nayak ◽  
Randall E. McCoy
Keyword(s):  
Guinea Pig ◽  
Reproductive Tract ◽  
Three Dimensional ◽  
Female Reproductive Tract ◽  
Human Female ◽  
Surface Ultrastructure ◽  
Transmission Electron ◽  
Sem Study ◽  
Uterine Mucosa ◽  
Group 1

Burgos and Wislocki described changes in the mucosa of the guinea pig uterus, cervix and vagina during the estrous cycle investigated by transmission electron microscopy. More recently, Moghissi and Reame reported the effects of progestational agents on the human female reproductive tract. They found drooping and shortening of cilia in norgestrel and norethindrone- treated endometria. To the best of our knowledge, no studies concerning the effects of mestranol and norethindrone given concurrently on the three-dimensional surface features on the uterine mucosa of the guinea pig have been reported. The purpose of this study was to determine the effect of mestranol and norethindrone on surface ultrastructure of guinea pig uterus by SEM.Seventy eight animals were used in this study. They were allocated into two groups. Group 1 (20 animals) was injected intramuscularly 0.1 ml vegetable oil and served as controls.

Surface ultrastructure of danazol treated rat endometrium: A SEM study

1983 ◽  
Vol 41 ◽  
pp. 556-557
Author(s):  
R.P. Apkarian ◽  
J.S. Sanfilippo
Keyword(s):  
Cross Sections ◽  
Reproductive Tract ◽  
Preliminary Investigation ◽  
Breast Disease ◽  
Distal Segment ◽  
Uterine Horn ◽  
Female Reproductive Tract ◽  
Ultrastructural Changes ◽  
Cycle Phase ◽  
Sprague Dawley

The synthetic androgen danazol, is an isoxazol derivative of ethisterone. It is utilized in the treatment of endometriosis, fibrocystic breast disease, and has a potential use as a contraceptive. A study was designed to evaluate the ultrastructural changes associated with danazol therapy in a rat model. The preliminary investigation of the distal segment of the rat uterine horn was undertaken as part of a larger study intended to elucidate the effects of danazol on the female reproductive tract.Cross-sections (2-3 mm in length) of the distal segment of the uterine horn from sixteen Sprague-Dawley rats were prepared for SEM. Ten rats in estrus served as controls and six danazol treated rats were noted to have alterations of the estrus cycle i.e. a lag in cycle phase or noncycling patterns. Specimens were fixed in 3% glutaraldehyde in 0.05M phosphate buffer containing CaCl2 at pH 7.0-7.4 and chilled to 4°C. After a brief wash in distilled water, specimens were passed through a graded series of ethanol, critical point dryed in CO2 from absolute ethanol, and coated with 6nm Au. Observations were made with an IS1-40 SEM operated at 15kV.

The application of electron microscopy to diagnosis in gynecologic neoplasms and tumor-like conditions

1984 ◽  
Vol 42 ◽  
pp. 102-105
Author(s):  
Lawrence M. Roth
Keyword(s):  
Electron Microscopy ◽  
Reproductive Tract ◽  
Malignant Tumors ◽  
Frozen Section ◽  
Cost Effective ◽  
Female Reproductive Tract ◽  
Ultrastructural Examination ◽  
Specific Diagnosis ◽  
Potential Value ◽  
Gynecologic Neoplasms

The female reproductive tract may be the site of a wide variety of benign and malignant tumors, as well as non-neoplastic tumor-like conditions, most of which can be diagnosed by light microscopic examination including special stains and more recently immunoperoxidase techniques. Nevertheless there are situations where ultrastructural examination can contribute substantially to an accurate and specific diagnosis. It is my opinion that electron microscopy can be of greatest benefit and is most cost effective when applied in conjunction with other methodologies. Thus, I have developed an approach which has proved useful for me and may have benefit for others. In cases where it is deemed of potential value, glutaraldehyde-fixed material is obtained at the time of frozen section or otherwise at operation. Coordination with the gynecologic oncologist is required in the latter situation. This material is processed and blocked and is available if a future need arises.

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