Abstract

HEMATOCOLPOS BY HYMENAL IMPERFORATION: ABOUT A CASE

Tamim Khadija*, EL Matar Karima, Kamri Fatima Ezzahra, Bargach Samir, Malki Yousfi Mounia and Ansari Chenguiti Anas

ABSTRACT

A 17-year-old girl was referred for pelvic pain with urinary retention unreliable to usual treatments. A pfananstiel-type laparotomy for ovarian cyst was white. The diagnosis of hematocolpos complicated by hematometry with urine retention then suspected. Vulvar inspection confirmed the hymenal imperforation with an overlying tense collection visualized on suprapubic and endorectal pelvic ultrasound. A hymenotomy allowed the evacuation of 400 cc of "chocolate" liquid. Retrospective examination revealed recurrent abdominopelvic pain, which prompted numerous visits to the emergency department. The consequences were simple, allowing the patient to be discharged on the 2nd postoperative day.

Keywords: Adolescent, Hymenal imperforation, Pelvic pain, hymenotomy, urine retention.