An Operated Case of Imperforate Hymen Causing Hematometrocolpos.

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  • ASABE Koushi
    Second Department of Surgery, Fukuoka University School of Medicine Division of Pediatric Surgery, Maternity & Perinatal Care Center, Fukuoka University Hospital
  • SHIRAKUSA Takayuki
    Second Department of Surgery, Fukuoka University School of Medicine

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Other Title
  • 子宮ちつ留血腫を認めた処女膜閉鎖症の１例

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A case of imperforate hymen causing hematometerocolpos is presented. A 12-year-old girl complaining of abdominal pain was seen at the hospital with a suspicion of an ovarian cyst. Pelvic examination revealed a bulging and closed hymen. Trans-abdominal ultrasonography, computed tomography and magnetic resonance imaging showed distended cavity of the vagina and uterus, and no other anomalies were found in the urogenital organs. The closed hymen was excised crossly and about 600ml of bloody fluid was drained. Postoperative course was uneventful.<br> We collected a total of 35 cases of imperforate hymen at puberty in the Japanese literature. Imperforate hymen is a rare entity, but we must kept it in mind as a differential diagnosis of an abdominal tumor in adolescent girls who have no menarche and perform genital inspection.

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