Imperforate Hymen - a rare cause of acute abdominal pain and tenesmus: case report and review of the literature

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Abstract

Imperforate hymen is a rare condition that presents with amenorrhea, cyclical abdominal pains and urine retention among pubertal girls. A 14 year old girl with imperforate hymen underwent hymenotomy for hematocolpometra, having presented with abdominal pains and tenesmus.

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Hymen sparing surgery for imperforate hymen: case reports and review of literature.

Mustafa Basaran, Deniz Usal, Cumhur Aydemir (2009)

Imperforate hymen, with an incidence between 0.1% and 0.05%, is the most common obstructive congenital abnormality of the female genital tract. 'Standard' surgical treatment of imperforate hymen involves hymenectomy after a cruciate, plus, or X-shaped hymenotomy incision. Two cases with imperforate hymen treated with a simple vertical incision are presented. A few oblique sutures were used to prevent refusion. Postoperative follow up was uneventful. The importance of the integrity of hymen changes in different cultures and religious groups. Option of a hymen sparing procedure is readily preferred by most of these patients and families. Also preservation of hymenal tissue, hence the perception of 'integrity' of female genitalia, might be an alternative treatment option.

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Imperforate hymen-a rare cause of abdominal pain: two cases and review of the literature.

Cem Dane, Banu Dane, Ahmet Cetin … (2007)

To document an unusual cause of abdominal pain in premenarcheal adolescent girls. Case report. A training and research hospital in Istanbul. Two cases of hematocolpos in two adolescent girls due to imperforate hymen were reported. Both of them manifested lower abdominal pain and urinary retention. Hymenotomy was performed in both the cases. Imperforate hymen is a rare diagnosis, but should be considered when dealing with premenarcheal adolescent girls with lower abdominal symptoms or back pain.

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Long-term follow-up of women who underwent surgical correction for imperforate hymen.

S. Chang, Bertrand C. Liang, Y. Soong (2003)

The aim of this study was to demonstrate the clinical results of postoperative evaluation for a consecutive series of cases of imperforate hymen presenting at a tertiary medical center during an over 14-year period. We retrospectively reviewed the clinical records of 15 patients with imperforate hymen that had undergone hymenectomy between 1987 and 1998. After completing a questionnaire via a telephone interview regarding sexuality, fertility, menstrual problems, micturition and defecation after surgical correction, those patients were persuaded to come back to the hospital for further gynecological surveys during 2002. The mean postoperative follow-up was 8.5 years (range, 4-14 years). The mean age at diagnosis was 13.2 years (range, 11-16). The most common clinical symptom was cryptomenorrhea (15), followed by pelvic pain (11), palpable abdominal mass (9), urinary retention and other voiding problems (8) and problems of defecation (4). None admitted intercourse attempts before. Two patients also had uterine anomalies, but none had urinary tract or bowel anomalies. During the follow-up period, we found that the majority of patients had irregular menstrual cycles and were worried about their future fertility. Six patients suffered from dysmenorrhea; of 11 patients who began having intercourse two later delivered babies, and none complained of sexual dysfunction. After hymenectomy, the women with imperforate hymen were markedly relieved of cryptomenorrhea, and problems of micturition and defecation also greatly improved. Although complaints of irregular menstruation and dysmenorrhea gradually evolved as the center of attention during follow-up, most patients fared well in terms of fertility and sexual function.

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Journal

Journal ID (nlm-ta): Pan Afr Med J

Journal ID (iso-abbrev): Pan Afr Med J

Journal ID (publisher-id): PAMJ

Title: The Pan African Medical Journal

Publisher: The African Field Epidemiology Network

ISSN (Electronic): 1937-8688

Publication date (Electronic): 21 May 2013

Publication date Collection: 2013

Volume: 15

Electronic Location Identifier: 28

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[1 ]Transmara District Hospital-Kilgoris, Kenya

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[& ]Corresponding author: Aruyaru Stanley Mwenda, Transmara District Hospital-Kilgoris, Kenya

Article

Publisher ID: PAMJ-15-28

DOI: 10.11604/pamj.2013.15.28.2251

PMC ID: 3758851

PubMed ID: 24009804

SO-VID: fb066455-b142-4cac-9a30-683759442867

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The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Imperforate Hymen - a rare cause of acute abdominal pain and tenesmus: case report and review of the literature

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Abstract

Most cited references 16

Hymen sparing surgery for imperforate hymen: case reports and review of literature.

Imperforate hymen-a rare cause of abdominal pain: two cases and review of the literature.

Long-term follow-up of women who underwent surgical correction for imperforate hymen.

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