Imperforate Hymen With Highly Elevated Serum CA19-9 and CA125 Levels: A Case Report

Asai Yo, Ikeda Taro, Nango Yoko, Inoue Mikiya, Sugito Kiminobu, Hagiwara Noritsugu, Koshinaga Tsugumichi, Kusafuka Takeshi

doi:10.11164/jjsps.46.6_956

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CA19-9とCA125が高値を呈した処女膜閉鎖症の1例
症例報告 CA19-9とCA125が高値を呈した処女膜閉鎖症の1例
ショウレイホウコク CA19 9 ト CA125 ガコウチオテイシタショジョマクヘイサショウノ 1レイ

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An 11-year-old premenarcheal girl who has urinary retention was admitted to the urology department in our hospital. Her clinical examination revealed a palpable lower abdominal mass, and her tumor markers were highly elevated (CA19-9 and CA125). The urologist consulted our department, doubting an ovarian tumor. The mass was detected by ultrasonography. Hydrometrocolpos was diagnosed by the abdominal CT and MRI inspection. As a result of the examination of the vulva, it was diagnosed as hydrometrocolpos because of an imperforate hymen. We performed surgical treatment with a cross incision of the hymen followed by immediate leakage of 450ml of vaginal and uterine hemorrhagic collection. The postoperative course was excellent, her menstruation promptly ensued and her serum CA19-9 and CA125 levels decreased one month after the operation. Imperforate hymen is assumed to be a comparatively rare disease. However, it is possible to diagnose it easily by examining the vulva. It seems important to keep this disease in mind when examining a lower abdominal mass in girls before their first menstruation.

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Journal of the Japanese Society of Pediatric Surgeons

Journal of the Japanese Society of Pediatric Surgeons 46 (6), 956-961, 2010

The Japanese Society of Pediatric Surgeons

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