An unusual late presentation of imperforate hymen.

Abstract:

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.

journal_name

Obstet Gynecol

authors

Sanders RM,Nakajima ST

subject

Has Abstract

pub_date

1994-05-01 00:00:00

pages

896-8

issue

5 Pt 2

eissn

0029-7844

issn

1873-233X

journal_volume

83

pub_type

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