Obstetrics and gynecology · 1994
An unusual late presentation of imperforate hymen.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Sanders R M, Nakajima S T
Аннотация
BACKGROUND: The imperforate hymen is a rare gynecologic abnormality that may not be detected until the onset of menses, when hematocolpos causes symptoms due to an expanding pelvic mass.
CASE: A 19-year-old woman had primary amenorrhea, originally misdiagnosed as müllerian agenesis. Because of a combination of late onset of menses, vaginal dilation, and sexual intercourse, her hematocolpos remained relatively asymptomatic.
CONCLUSION: Proper diagnosis of the imperforate hymen could have been made earlier by contrasting the ultrasound findings with the absence of associated genitourinary and skeletal anomalies. Magnetic resonance imaging can detect a uterus not previously seen on ultrasound. An early imaging study may further prevent the misdiagnosis of congenital absence of the uterus.
CASE: A 19-year-old woman had primary amenorrhea, originally misdiagnosed as müllerian agenesis. Because of a combination of late onset of menses, vaginal dilation, and sexual intercourse, her hematocolpos remained relatively asymptomatic.
CONCLUSION: Proper diagnosis of the imperforate hymen could have been made earlier by contrasting the ultrasound findings with the absence of associated genitourinary and skeletal anomalies. Magnetic resonance imaging can detect a uterus not previously seen on ultrasound. An early imaging study may further prevent the misdiagnosis of congenital absence of the uterus.