Hematocolpos due to imperforate hymen: a case report and literature systematic review.
Adolescent girls
Hematocolpos
Hematometra
Imperforate hymen
Pelvic pain
Systematic review
Journal
International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041
Informations de publication
Date de publication:
Feb 2023
Feb 2023
Historique:
received:
04
04
2022
accepted:
03
06
2022
pubmed:
18
6
2022
medline:
26
1
2023
entrez:
17
6
2022
Statut:
ppublish
Résumé
Hematocolpos is a rare condition, where menstrual blood fills the vagina, instead of being expelled, due to a series of uterovaginal pathologies, the most frequent of which is the imperforate hymen. To date, few cases of hematocolpos have been reported in the literature. We report a case of hematometrocolpos due to imperforate hymen initially misdiagnosed as constipation and subsequently as ovarian mass; moreover, the present study undertakes a systematic review of studies on hematometrocolpos due to imperforate hymen to synthesize available knowledge on epidemiology, diagnosis, and management about this rare condition. A total of 35 studies, describing 61 patients, were identified. The presence of hematocolpos should be suspected in premenarchal patients complaining of low abdominal pain, abdominal swelling, and urinary retention. Genital examination disclosing a tender, pale hymen and ultrasound represent a useful tool for diagnosis. The goal of the management is to timely perform hymenotomy to drain the hematocolpos, followed by hymenectomy to prevent recurrence. Follow-up is needed to diagnose possible recurrences. In the case of an adolescent girl complaining of genital pain associated with primary amenorrhea, hematocolpos due to imperforate hymen should be suspected.
Identifiants
pubmed: 35713674
doi: 10.1007/s00192-022-05270-x
pii: 10.1007/s00192-022-05270-x
doi:
Types de publication
Systematic Review
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
357-369Informations de copyright
© 2022. The International Urogynecological Association.
Références
Salhan B, Omisore OT, Kumar P, Potter J. A rare presentation of imperforate hymen: a case report. Case Reports Urol. 2013;2013:731019. https://doi.org/10.1155/2013/731019 .
doi: 10.1155/2013/731019
Sakalkale R, Samarakkody U. Familial occurrence of imperforate hymen. J Pediatr Adolesc Gynecol. 2005;18(6):427–9. https://doi.org/10.1016/j.jpag.2005.06.008 .
doi: 10.1016/j.jpag.2005.06.008
Parazzini F, Cecchetti G. The frequency of imperforate hymen in northern Italy. Int J Epidemiol. 1990;19(3):763–4. https://doi.org/10.1093/ije/19.3.763 .
doi: 10.1093/ije/19.3.763
Bonello K, Tlili Y, Ben Zeid O, Figoni H, Mazeghrane M. Haematocolpos due to imperforate hymen disguised as constipation. J Paediatr Child Health. 2021;57(5):715–7. https://doi.org/10.1111/jpc.14931 .
doi: 10.1111/jpc.14931
Chircop R. A case of retention of urine and haematocolpometra. Eur J Emerg Med: Off J Eur Soc Emerg Med. 2003;10(3):244–5. https://doi.org/10.1097/00063110-200309000-00019 .
doi: 10.1097/00063110-200309000-00019
Blask AR, Sanders RC, Rock JA. Obstructed uterovaginal anomalies: demonstration with sonography. Part II. Teenagers. Radiology. 1991;179(1):84–8. https://doi.org/10.1148/radiology.179.1.2006308 .
doi: 10.1148/radiology.179.1.2006308
Egbe TO, Kobenge FM, Wankie EM. Virginity-sparing management of hematocolpos with imperforate hymen: case report and literature review. SAGE Open Med Case Reports. 2019;7:2050313X19846765. https://doi.org/10.1177/2050313X19846765 .
doi: 10.1177/2050313X19846765
Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097. https://doi.org/10.1371/journal.pmed.1000097 .
doi: 10.1371/journal.pmed.1000097
Abraham C. Imperforate hymen causing hematocolpos and urinary retention. J Emerg Med. 2019;57(2):238–40. https://doi.org/10.1016/j.jemermed.2019.03.014 .
doi: 10.1016/j.jemermed.2019.03.014
Agarwal U, Sangwan K, Dahiya P, Chauhan M. Massive hematocolpos mimicking as an ovarian tumor: Atypical presentation of imperforate hymen. J Gynecol Surg. 2002;2002:109–11.
doi: 10.1089/104240602760363646
Ahmed S, Morris LL, Atkinson E. Distal mucocolpos and proximal hematocolpos secondary to concurrent imperforate hymen and transverse vaginal septum. J Pediatr Surg. 1999;34(10):1555–6. https://doi.org/10.1016/s0022-3468(99)90129-x .
doi: 10.1016/s0022-3468(99)90129-x
Al-Hunaidi O, El-Shazly M, Alkandari M, Ghobashy A, Alhajeri F, Allam A. Acute urine retention caused by hematocolpos after failed hymenotomy in 23 year old female. Urology case reports. 2015;3(2):50–1. https://doi.org/10.1016/j.eucr.2015.01.005 .
doi: 10.1016/j.eucr.2015.01.005
Anguenot JL, Ibecheole V, Salvat J, Campana A. Hematocolpos secondary to imperforate hymen, contribution of transrectal echography. Acta Obstet Gynecol Scand. 2000;79(7):614–5.
Bapat R, Bergsman C. Hematometrocolpos presenting as sciatica, constipation, and urinary retention. Clin Pediatr. 2008;47(1):71–3. https://doi.org/10.1177/0009922807304371 .
doi: 10.1177/0009922807304371
Bekaert T, Ramboer K. Hematometrocolpos due to an imperforate hymen. J Belgian Soc Radiol. 2018;102(1):2. https://doi.org/10.5334/jbr-btr.1413 .
doi: 10.5334/jbr-btr.1413
Bezjian Wallace L, Wallace P, Herness J. A rare pelvic "mass-querader": acute urinary retention secondary to hematocolpos in a preadolescent patient. Mil Med. 2020;185(11-12):2171–2. https://doi.org/10.1093/milmed/usaa166 .
doi: 10.1093/milmed/usaa166
Boruah DK, Yadav RR, Mahanta K, Augustine A, Gogoi M, Lotha L. MR imaging evaluation of obstructing vaginal malformations with hematocolpos or hematometra in adolescent girls: A cross sectional study. Egypt J Radiol Nucl Med. 2017;48(4):1187-1196.
Brito L, Suto HS. Hematometrocolpos in a teenager. N Engl J Med. 2018;378(8):e12. https://doi.org/10.1056/NEJMicm1711730 .
doi: 10.1056/NEJMicm1711730
Bursać D, Duic Z, Partl JZ, Valetic J, Stasenko S. Hematocolpos resulting from an imperforated hymen diagnosed by ultrasound in a patient with recurrent urinary tract infections. J Pediatr Adolesc Gynecol. 2012;25(5):340–1. https://doi.org/10.1016/j.jpag.2012.04.005 .
doi: 10.1016/j.jpag.2012.04.005
Daboiko JC, Gbané-Koné M, Ouattara B. Low-back pain in adolescents: consider haematocolpometra by imperforate hymen in the case of a premenarchal girl. Clin Exp Rheumatol. 2011;29(1):146.
Ercan CM, Karasahin KE, Alanbay I, Ulubay M, Baser I. Imperforate hymen causing hematocolpos and acute urinary retention in an adolescent girl. Taiwanese J Obstet Gynecol. 2011;50(1):118–20. https://doi.org/10.1016/j.tjog.2011.01.005 .
doi: 10.1016/j.tjog.2011.01.005
Gyimadu A, Sayal B, Guven S, Gunalp GS. Hematocolpos causing severe urinary retention in an adolescent girl with imperforate hymen: an uncommon presentation. Arch Gynecol Obstet. 2009;280(3):461–3. https://doi.org/10.1007/s00404-009-0931-5 .
doi: 10.1007/s00404-009-0931-5
Hsu KP, Chen CP, Chien SC, Hsu CY. Hematocolpometra associated with an imperforate hymen and acute urinary retention mimicking a pelvic mass. Taiwanese J Obstet Gynecol. 2008;47(2):222–3. https://doi.org/10.1016/S1028-4559(08)60087-X .
doi: 10.1016/S1028-4559(08)60087-X
Kapsalaki E, Daponte A, Deligeoroglou E, Zavos A, Fezoulidis I, Messinis IE. The role of MRI in young adolescent girls with hematocolpos. European. J Radiol Extra. 2011;78(2):e97–e100.
doi: 10.1016/j.ejrex.2011.02.009
Ketabchi AA, Naroei SH, Ahmadinejad D. Hematocolpos as a cause of urinary overflow incontinence in a young girl: a case report. Iran J Radiol. 2009;6(2).
Khaliq M, Raja R, Raza SM, Riaz K, Nadeem S. Role of MRI in pre-operative evaluation of obstructing reproductive tract anomalies in young girls presenting with hematometrocolpos. Rawal Med J. 45(1).
Kloss BT, Nacca NE, Cantor RM. Hematocolpos secondary to imperforate hymen. Int J Emerg Med. 2010;3(4):481–2. https://doi.org/10.1007/s12245-010-0171-2 .
doi: 10.1007/s12245-010-0171-2
Kotter HC, Weingrow D, Canders CP. Hematometrocolpos in a pubescent girl with abdominal pain. Clin Pract Cases Emerg Med. 2017;1(3):218–20. https://doi.org/10.5811/cpcem.2017.3.33369 .
doi: 10.5811/cpcem.2017.3.33369
Levsky JM, Mondshine RT. On the AJR viewbox. Hematometrocolpos due to imperforate hymen in a patient with bicornuate uterus. AJR Am J Roentgenol. 2006;186(5):1469–70. https://doi.org/10.2214/AJR.05.0907 .
doi: 10.2214/AJR.05.0907
Löllgen RM, Sabo J, Mettler A, Liniger B, Berger S. Unique presentation of hematometrocolpos mimicking cauda equina syndrome: severe back pain and urinary incontinence in an adolescent girl. J Emerg Med. 2016;51(2):e19–23. https://doi.org/10.1016/j.jemermed.2016.01.031 .
doi: 10.1016/j.jemermed.2016.01.031
Lui C, Chan T, Fung H, Tang S. A retrospective study on imperforate hymen and haematometrocolpos in a regional hospital. Hong Kong J Emerg Med. 2010;17(5):435–40.
doi: 10.1177/102490791001700503
Makris GM, Macchiella D, Vaidakis D, Chrelias C, Battista MJ, Siristatidis C. Abdominal tumor in a 14-year-old adolescent: imperforate hymen, resulting in hematocolpos-a case report and review of the literature. Case Rep Obstet Gynecol. 2015;2015:429740. https://doi.org/10.1155/2015/429740 .
doi: 10.1155/2015/429740
Mills KE, Jolliffe CJ, Rosenthal DM. Hematocolpometra in a 15-year-old female. Journal of obstetrics and gynaecology Canada : JOGC =. J d'obstetrique et gynecologie du Canada : JOGC. 2014;36(7):569. https://doi.org/10.1016/S1701-2163(15)30528-4 .
doi: 10.1016/S1701-2163(15)30528-4
Mwampagatwa IH, Mponda BA. Imperforate hymen presenting with massive haematocolpos and acute urinary retention in a teenage girl: A case report. Tanzania J Health Res. 2012;14(4):293–6.
doi: 10.4314/thrb.v14i4.9
Niang I, Diouf KN, Thiam M, Ndong A, Diop CT, Ka S, Ba S. Late diagnosis of imperforate hymen with hematometrocolpos and bilateral hydronephrosis of a horseshoe kidney. Radiol Case Reports. 2020;15(11):2217–20. https://doi.org/10.1016/j.radcr.2020.08.054 .
doi: 10.1016/j.radcr.2020.08.054
Patoulias I, Prodromou K, Kallergis K, Koutsoumis K. Acute urinary retention due to hematocolpos: Report of two cases. J Pediatr Surg Case Rep. 2012;1(8):189–91.
doi: 10.1016/j.epsc.2013.05.016
Patwa PA, Rathi R, Chaudhary K, Charan A, Singh RK, Mishra GV. A case series on imperforate hymen causing hematometra and hematocolpos with unusual presentations. J Datta Meghe Inst Med Sci Univ. 2021;16:216–8.
Saleh R, Katzenbach G 3rd, Espinosa J. Hematometrocolpos disguised as abdominal pain. J Emerg Med. 2017;53(5):e97–9.
doi: 10.1016/j.jemermed.2017.06.043
Stone SM, Alexander JL. Images in clinical medicine. Imperforate hymen with hematocolpometra. N Engl J Med. 2004;351(7):e6.
doi: 10.1056/ENEJMicm020415
Tsatsaris G, Fasoulakis Z, Papapanagiotou I, Theodora M, Kontomanolis EN. A rare case of massive hematometra with a tubo-ovarian abscess in a 16-year-old female. Cureus. 2019;11(6):e4845.
Mou JW, Tang PM, Chan KW, Tam YH, Lee KH. Imperforate hymen: cause of lower abdominal pain in teenage girls. Singap Med J. 2009;50:e378–9.
Miller RJ, Breech LL. Surgical correction of vaginal anomalies. Clin Obstet Gynecol. 2008;51:223–36.
doi: 10.1097/GRF.0b013e31816d2181