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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...

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Autores principales: Tsatsaris, Georgios, Fasoulakis, Zacharias, Papapanagiotou, Ioannis, Theodora, Marianna, Kontomanolis, Emmanuel N
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
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.
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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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