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Imperforated Hymen: An Unexpected Cause of Pediatric Abdominal Pain,Case Report and Review of Literature
- Source :
- Tropical Medicine & Surgery.
- Publication Year :
- 2013
- Publisher :
- OMICS Publishing Group, 2013.
-
Abstract
- Introduction: Imperforate Hymen is the most common female genital tract malformation with prevalence of up to 0.1% and can present with wide variety of symptoms, ranging from abdominal pain to urinary retention. Case: Case of 11 y/o female with cyclical abdominal pain and palpable mass up to umbilicus. Patient diagnosed with imperforate hymen and taken to operating room (OR) by Gynecology team for hymenotomy; 2,500 mL of blood was evacuated. Discussion: Imperforate Hymen is an uncommon cause of abdominal pain. Presentation varies from abdominal pain and difficulty urinating, to urinary retention and tenesmus. Ultrasound is the study of choice for further evaluation and definite treatment is via hymenotomy. Conclusion: Imperforate hymen is an easily missed diagnosis in the Emergency Department (ED). It has to be included in the differential diagnosis for abdominal pain in pre-menarchal females.
- Subjects :
- medicine.medical_specialty
Abdominal pain
business.industry
Urinary retention
Umbilicus (mollusc)
medicine.medical_treatment
Hymenotomy
medicine.disease
Surgery
medicine.anatomical_structure
Hymen
medicine
Presentation (obstetrics)
medicine.symptom
Differential diagnosis
Imperforate hymen
business
Subjects
Details
- ISSN :
- 23299088
- Database :
- OpenAIRE
- Journal :
- Tropical Medicine & Surgery
- Accession number :
- edsair.doi...........2c12f15cedc3b6e6762b311155fd4c54