Title: Atresia Hymenalis with Haematometrocolpos: A Benefit of Teaching a Case Series and Review of the Literature
Authors: Whitla, L; Jones, J; Barrett, MJ; O’Donnell, SM; Walsh, S; Blackburn, C
Abstract: Imperforate hymen or atresia hymenalis is a rare clinical presentation, the condition is estimated to be present in 0.5/1000 females1. It is the most common obstructive anomaly of the female genital tract, and results from failure of canalization of the vaginal plate in utero. Atresia hymenalis can present in neonates as bulging hymen due to accumulation of secretions by the uterovaginal mucosa2,3. Usually the imperforate hymen is asymptomatic until menarche, when haematometrocolpos results in symptoms such as abdominal pain, abdominal mass, urinary retention and constipation. Many cases are diagnosed in the evaluation of primary amenorrhoea or recurrent abdominal pain2,3. We present 4 cases diagnosed over a 7 month period in our ED.
↧
