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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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. Persistent genital arousal disorder. Hematomftra Publications Conferences Register Contact.

Coagulated blood bulging outwards from the hymen opening was observed. Early diagnosis of imperforate hymen in the fetus, newborn or in childhood and timed hymenotomy at menarche would have prevented the complications.

Published online Aug 3. Menorrhagia in adolescents with inherited bleeding disorders. Office Evaluation and Management of the Uterine Cavity. In the present case, it was thought that massive uterine bleeding could have caused an obstruction secondary to the clot formation.

She had no known bleeding disorders.


Perineal examination revealed a bulging pinkish imperforate hymen Figure 1. Endometriosis of ovary Female infertility Anovulation Poor ovarian reserve Hsmatocolpos Oophoritis Ovarian apoplexy Ovarian cyst Corpus luteum cyst Follicular cyst of ovary Theca lutein cyst Ovarian hyperstimulation syndrome Ovarian torsion. Retrieved from ” https: In other projects Wikimedia Commons.

This article has been cited by other articles in PMC. A large hematometra hematometr hematocolpos were detected by transabdominal ultrasound scanning. Transvaginal sonography of hematotrachelos and hematometra causing acute urinary retention after previous repair of intrapartum cervical lacerations.


A report of two cases. Pschera H, Kjaeldgaard A. Ultrasound diagnosis of hematotrachelos: Antenatal ultrasound can also detect the bulging imperforate hymen due to the yematometra of hydrocolpos or mucocolpos in the female fetus that occurred in response to maternal oestrogens. Decreased drainage of accumulated debris rather than acute hemorrhage hematometga have caused hematometrocolpos. Endometriosis of ovary Female infertility Anovulation Poor ovarian reserve Mittelschmerz Oophoritis Ovarian apoplexy Ovarian cyst Corpus luteum cyst Follicular cyst of ovary Theca lutein cyst Ovarian hyperstimulation syndrome Ovarian torsion.

Hematometrocolpos is accumulation of blood in the vagina and uterine cavity due to intra-uterine hemorrhage. An unusual late presentation of imperforate hymen. Eur J Gynaecol Oncol.

Hematometra – Wikipedia

A Transabdominal sagital ultrasonographic view showing the markedly distended uterus. It occurs when the sinovaginal bulb fails to canalize with the rest of the vagina. Hematometra typically presents as cyclic, cramping pain in the midline of the pelvis or hematocolpps abdomen.

Adolescents often present at gynaecologists with HMB, although HMB following the usage of contraceptive pills which may cause hematometrocolpos is rare. There is not enough data as yet to recommend one specific type of COC over any other [ 21 ]. High index of suspicion is required for early diagnosis and treatment before the complications like massive hematometra and hematocolpos occur. It can also develop after female genital mutilation. These acquired problems are caused by iatrogenic interventional traumas to the uterine cervix such as cone biopsies, loop electrosurgical procedures, dilation and curettage, obstetric lacerations, cervical or endometrial hematocokpos, and radiation therapy [ 91011121314 ].


The underlying etiology of the acquired obstructed cervix in the patient presented here is not as yet fully understood. She was initially hemafocolpos 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 heatometra high doses of combined oral contaceptive ethinyl estradiol 0.

Hematocolpos is a medical condition in which the vagina fills with menstrual blood. Gynaecologic disorders Women’s health stubs.

Vaginal bleeding Postcoital bleeding. A 20 cmsized suprapubic, tender, cystic, and dull to percussion mass was found on abdominal examination. Evacuation of hematocolpos and heamatometra. Persistent genital arousal disorder.

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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. Obstruction of the female genital outflow tract is rarely seen. In addition, it is very important to understand the difference between non- life-threatening bleedings and those requiring emergent intervention [ 4 ].

Treatment of hematotrachelos after dilatation and curettage. Therefore, a careful anamnesis, and physical examination are essential for diagnosis and management. Dyspareunia Hypoactive sexual nematocolpos disorder Sexual arousal disorder Vaginismus.

Transabdominal ultrasound depicted a distended uterus 90 mm hematodolpos diameter Figure 1a which communicated with a markedly distended vagina Figure 1b. Hematometra and extended vaginal haematoma after laser conization. Imperforate hymen is the commonest congenital anomaly that causes closure of the vagina.