scholarly journals A Rare Pelvic “Mass-Querader”: Acute Urinary Retention Secondary to Hematocolpos in a Preadolescent Patient

2020 ◽  
Vol 185 (11-12) ◽  
pp. 2171-2172
Author(s):  
Laurie Bezjian Wallace ◽  
Patrick Wallace ◽  
Joel Herness
Keyword(s):  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Abdominal Cavity ◽  
Foley Catheter ◽  
Pelvic Mass ◽  
Exploratory Laparotomy ◽  
Sexual History ◽  
Pelvic Cavity ◽  
Renal Ultrasound ◽  
Imperforate Hymen

ABSTRACT We report a case of acute urinary retention in an adolescent female secondary to hematocolpos. A 13-year-old female presented to the emergency department with acute urinary retention and suprapubic abdominal pain for 24 hours. She denied menstruation or sexual history. Bedside bladder ultrasound scan revealed 1.2 L of retained urine and a Foley catheter was placed. A formal renal ultrasound detected a debris-filled structure in the abdomino-pelvic cavity. Follow-up computed tomography of the abdomen and pelvis revealed an 8.5 cm × 9.3 cm × 12.1 cm mass-like structure in the pelvis. No formal pelvic exam was completed and the patient was taken to the operating room for exploratory laparotomy due to concern for large pelvic mass versus tubo-ovarian abscess. However, upon entering the abdominal cavity, no mass was found. At that point, an external genital exam was performed, revealing an imperforate hymen. Hymenotomy resulted in the evacuation of 2.5 L of clotted blood from the vagina and uterus. Hematocolpos resulting in acute urinary retention is exceedingly rare; however, it is an important differential diagnosis that can be ruled in or out by physical exam findings. Although it may be uncomfortable for adolescent patients and physicians, external genital exams should be conducted in young females with acute urinary retention and amenorrhea to evaluate for imperforate hymen. This can ensure appropriate treatment and avoidance of unnecessary invasive procedures.

scholarly journals Virginity-sparing management of hematocolpos with imperforate hymen: case report and literature review

2019 ◽  
Vol 7 ◽  
pp. 2050313X1984676
Author(s):  
Thomas Obinchemti Egbe ◽  
Fidelia Mbi Kobenge ◽  
Emmanuella Manka’a Wankie
Keyword(s):  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Lower Abdominal Pain ◽  
Pelvic Mass ◽  
Urogenital Sinus ◽  
Primary Amenorrhea ◽  
Abdominal Ultrasonography ◽  
Imperforate Hymen ◽  
History Of ◽  
Good Treatment Option

Imperforate hymen results from failure of the endoderm of the urogenital sinus to completely canalize and has an incidence of 0.01% to 0.05%. This sometimes presents as a pelvic mass that compresses the bladder causing acute urinary retention. A 13-year-old girl was referred to our department with a history of primary amenorrhea, cyclic lower abdominal pain, abdominal–pelvic mass, constipation and acute urinary retention. She had an ultrasonography misdiagnosis of a huge ovarian mass before referral to our unit. On examination, the vagina was bulging and compressing the rectum. Repeat abdominal ultrasonography confirmed the diagnosis of hematometrocolpos. She underwent X-shaped hymenotomy with a favorable outcome. Diagnosis of imperforate hymen requires high suspicion index. Virginity-sparing surgery constitutes a good treatment option for cultural and religious reasons.

scholarly journals Imperforate hymen causing hematocolpos and acute urinary retention in an adolescent girl

2011 ◽  
Vol 50 (1) ◽  
pp. 118-120 ◽  
Author(s):  
Cihangir Mutlu Ercan ◽  
Kazim Emre Karasahin ◽  
Ibrahim Alanbay ◽  
Mustafa Ulubay ◽  
Iskender Baser
Keyword(s):  
Urinary Retention ◽  
Adolescent Girl ◽  
Acute Urinary Retention ◽  
Imperforate Hymen

scholarly journals Giant Fibrothecoma of the Ovary in a Young Patient a Case Report

2021 ◽  
pp. 1-3
Author(s):  
Martínez Rodas O ◽  
Keyword(s):  
Clinical Presentation ◽  
Abdominal Cavity ◽  
Pelvic Mass ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Free Fluid ◽  
Stromal Tumors ◽  
Menopausal Women ◽  
Space Compression ◽  
Post Menopausal

Fibrothecomas are benign ovarian stromal tumors, they are rare tumors of gonadal stromal cell origin that represent 3-4% of all ovarian tumors. It commonly occurs in post-menopausal women. The clinical presentation is often nonspecific, whereas patients more frequently present with a pelvic mass, metrorrhagia, and pelvic pain. We present a 35-year-old patient, nulli-pregnant, with no personal or family pathological history, who attended a medical consultation for presenting progressive abdominal distention of 6 months of evolution in addition to abdominal pain in the last 2 months type colic which increased during her menstrual periods concomitantly alteration in your defecatory habits. Abdominal ultrasound was performed, finding a solid intrapelvic mass of approximately 14x10x10 cm in diameter of probable left ovarian origin, free fluid in the Douglas space, compression and displacement of intestinal loops and bladder. The patient underwent surgery and an exploratory laparotomy was performed, finding a pelvic tumor adhered to the tube and left ovary, in addition to ascites fluid in the abdominal cavity, complete resection of the tumor, ovary and left salpingue was performed.

scholarly journals Imperforate Hymen with Acute Urinary Retention

2015 ◽  
pp. 382-386
Author(s):  
Avinash Joshi ◽  
Harshawardhan Tanwar ◽  
Vinayak Wagaskar ◽  
Yogesh Kaje ◽  
Mugdha R Satalkar
Keyword(s):  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Imperforate Hymen

A Case of Imperforate Hymen with Acute Urinary Retention

2011 ◽  
Vol 15 (1) ◽  
pp. 86-89 ◽  
Author(s):  
Lim Choi ◽  
Sea-Eun Cho ◽  
Hyung-Eun Yim ◽  
Kee-Hwan Yoo ◽  
Young-Sook Hong ◽  
...  
Keyword(s):  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Imperforate Hymen
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