Full text. Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (M), or click on a page. Ind Med Gaz. Jan;77(1) A Case of Hymen Imperforata. Paladhi MN(1). Author information: (1)Lohaghat Dispensary, Almora, Himalayas. PMCID. Perineal examination showed a bluish bulging hymen. Transabdominal ultrasonography revealed a dense mass in the pelvis measuring about.

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Imperforate hymen occurs due to a failure of recanalisation of this membranous vestige. Acute urinary retention as the presentation of imperforate hymen. J Pediatr Orthop ; Pediatr Surg Int ; Support Radiopaedia and see fewer ads.

Approximately ml of viscous, chocolate coloured blood and clots were drained fig 3. Obstet Gynecol ; Imperforate hymen with hematocolpos. Swollen abdomen with haematometra imperforatw to an imperforate hymen and the abdomen after hymenectomy. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.

Published online May The patient now menstruates regularly. Both the ovaries were normal. Edit article Share article View revision history. By using this site, you agree to the Terms of Use and Privacy Policy. Scand J Immperforata Nephrol ; Read it at Google Books – Find it at Amazon. Open in a separate window.


The hymen is called imperforaat if there is no perforation of this membrane. The diagnosis of an imperforate hymen is usually made based purely on the physical exam, although if necessary the diagnosis can be confirmed by transabdominal, transperineal or transrectal ultrasound.

Treatment of imperforate hymen by application of Foley catheter. Loading Stack – 0 images remaining. Perineal examination showed a bluish bulging hymen.

Thank you for updating your details. This may lead to mechanical effects on the urethra, bladder, intestines or pelvic blood vessels which can result in urinary retention, obstipation or oedema of the legs.

Imperforate hymen: a cause of abdominal pain in female adolescents

Cal West Med ; Affected newborns may present with acute urinary retention. This article has been cited by other articles in PMC.

Both the recessive and dominant modes of transmission have been suggested, but no genetic markers or mutations have been proven as aetiological factors. Imperforate hymen is the most imperforqta vaginal obstruction of congenital origin. Please review our privacy policy. The reason for non-perforation of this membrane is unknown.

Imperforate hymen | Radiology Reference Article |

Before surgical intervention in adolescents, symptoms can be relieved by the combined oral contraceptive pill taken continuously to suppress the menstrual cycle or NSAIDs to relieve pain. Immediately after the operation the size of the abdomen had regained normal proportions fig 1lower image.


The frequency of imperforate hymen in Northern Italy. Imperforate hymen occurs mostly in a sporadic manner, although some familial occurrences have been reported. An imperforate hymen is formed during fetal development when the sinovaginal bulbs fail to canalize with the rest of the vagina.

Consider an imperforate imperforxta when there is a lack of menses in an adolescent girl with cyclical abdominal pain. Overlooked diseases of the vagina: It is seen in approximately 1 in females, although information on the true incidence is difficult to obtain.

The hymen indicates the junction between the urogenital sinus and sinovaginal bulb. Late discovery of an imperforate hymen may lead to pain, infections, hydronephrosis and endometriosis with subfertility as a possible consequence.