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A Rare Case of Massive Hematometra with a Tubo-ovarian Abscess in a 16-year-old Female
Imperforate hymen is a congenital defect of the lower genital tract and specifically the vagina. The examination of a neonatal can be quite helpful to avoid a multitude of complications in puberty like hematocolpos and tubo-ovarian abscess. We present the case of a 16-year-old who presented to the e...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6684124/ https://www.ncbi.nlm.nih.gov/pubmed/31410328 http://dx.doi.org/10.7759/cureus.4845 |
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author | Tsatsaris, Georgios Fasoulakis, Zacharias Papapanagiotou, Ioannis Theodora, Marianna Kontomanolis, Emmanuel N |
author_facet | Tsatsaris, Georgios Fasoulakis, Zacharias Papapanagiotou, Ioannis Theodora, Marianna Kontomanolis, Emmanuel N |
author_sort | Tsatsaris, Georgios |
collection | PubMed |
description | Imperforate hymen is a congenital defect of the lower genital tract and specifically the vagina. The examination of a neonatal can be quite helpful to avoid a multitude of complications in puberty like hematocolpos and tubo-ovarian abscess. We present the case of a 16-year-old who presented to the emergency department with fever (37.9° C), which was progressive the last two days, swollen abdomen, and pain in the lower abdomen. She also had a one-year history of cyclic abdominal pain. The patient had primary amenorrhea, the secondary sexual characteristics were normal for her age (Tanner III), and there was no family history of primary amenorrhea. The physical and ultrasound examination revealed an imperforate and bulging vaginal membrane and a multilocular adnexal mass, respectively. Every doctor should suspect this medical condition when there is a triad of symptoms like cyclic lower abdominal pain, primary amenorrhea, and swollen abdomen. Early diagnosis of an imperforate hymen can prevent serious complications for young patients. |
format | Online Article Text |
id | pubmed-6684124 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-66841242019-08-13 A Rare Case of Massive Hematometra with a Tubo-ovarian Abscess in a 16-year-old Female Tsatsaris, Georgios Fasoulakis, Zacharias Papapanagiotou, Ioannis Theodora, Marianna Kontomanolis, Emmanuel N Cureus Obstetrics/Gynecology Imperforate hymen is a congenital defect of the lower genital tract and specifically the vagina. The examination of a neonatal can be quite helpful to avoid a multitude of complications in puberty like hematocolpos and tubo-ovarian abscess. We present the case of a 16-year-old who presented to the emergency department with fever (37.9° C), which was progressive the last two days, swollen abdomen, and pain in the lower abdomen. She also had a one-year history of cyclic abdominal pain. The patient had primary amenorrhea, the secondary sexual characteristics were normal for her age (Tanner III), and there was no family history of primary amenorrhea. The physical and ultrasound examination revealed an imperforate and bulging vaginal membrane and a multilocular adnexal mass, respectively. Every doctor should suspect this medical condition when there is a triad of symptoms like cyclic lower abdominal pain, primary amenorrhea, and swollen abdomen. Early diagnosis of an imperforate hymen can prevent serious complications for young patients. Cureus 2019-06-06 /pmc/articles/PMC6684124/ /pubmed/31410328 http://dx.doi.org/10.7759/cureus.4845 Text en Copyright © 2019, Tsatsaris et al. http://creativecommons.org/licenses/by/3.0/ 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 author and source are credited. |
spellingShingle | Obstetrics/Gynecology Tsatsaris, Georgios Fasoulakis, Zacharias Papapanagiotou, Ioannis Theodora, Marianna Kontomanolis, Emmanuel N A Rare Case of Massive Hematometra with a Tubo-ovarian Abscess in a 16-year-old Female |
title | A Rare Case of Massive Hematometra with a Tubo-ovarian Abscess in a 16-year-old Female |
title_full | A Rare Case of Massive Hematometra with a Tubo-ovarian Abscess in a 16-year-old Female |
title_fullStr | A Rare Case of Massive Hematometra with a Tubo-ovarian Abscess in a 16-year-old Female |
title_full_unstemmed | A Rare Case of Massive Hematometra with a Tubo-ovarian Abscess in a 16-year-old Female |
title_short | A Rare Case of Massive Hematometra with a Tubo-ovarian Abscess in a 16-year-old Female |
title_sort | rare case of massive hematometra with a tubo-ovarian abscess in a 16-year-old female |
topic | Obstetrics/Gynecology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6684124/ https://www.ncbi.nlm.nih.gov/pubmed/31410328 http://dx.doi.org/10.7759/cureus.4845 |
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