Jang E, So KA, Kim B, Lee AJ, Kim NR, Yang EJ, Shim SH, Lee SJ, Kim TJ. Delayed diagnosis of imperforate hymen with huge hematocolpometra: A case report. World J Clin Cases 2021; 9(29): 8901-8905 [PMID: 34734073 DOI: 10.12998/wjcc.v9.i29.8901]
Corresponding Author of This Article
Kyeong A So, MD, PhD, Assistant Professor, Department of Obstetrics and Gynecology, Konkuk University School of Medicine, 120-1 Neungdong-ro, Gwangjin-gu, Seoul 05030, South Korea. joyfulplace@hanmail.net
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 16, 2021; 9(29): 8901-8905 Published online Oct 16, 2021. doi: 10.12998/wjcc.v9.i29.8901
Delayed diagnosis of imperforate hymen with huge hematocolpometra: A case report
Eunbi Jang, Kyeong A So, Bomin Kim, A Jin Lee, Nae Ri Kim, Eun Jung Yang, Seung-Hyuk Shim, Sun Joo Lee, Tae Jin Kim
Eunbi Jang, Kyeong A So, Bomin Kim, A Jin Lee, Nae Ri Kim, Eun Jung Yang, Seung-Hyuk Shim, Sun Joo Lee, Tae Jin Kim, Department of Obstetrics and Gynecology, Konkuk University School of Medicine, Seoul 05030, South Korea
Author contributions: Jang EB contributed to manuscript writing and reviewed the literature; Kim BM, Lee AJ, Kim NR, and Yang EJ contributed to acquisition of data and images; Shim SH, Lee SJ, and Kim TJ reviewed images and the manuscript; So KA was responsible for supervision, reviewed and edited the manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Kyeong A So, MD, PhD, Assistant Professor, Department of Obstetrics and Gynecology, Konkuk University School of Medicine, 120-1 Neungdong-ro, Gwangjin-gu, Seoul 05030, South Korea. joyfulplace@hanmail.net
Received: June 9, 2021 Peer-review started: June 9, 2021 First decision: July 15, 2021 Revised: July 20, 2021 Accepted: August 27, 2021 Article in press: August 27, 2021 Published online: October 16, 2021 Processing time: 128 Days and 7.4 Hours
Abstract
BACKGROUND
Imperforate hymen is a rare obstructive anomaly of the female reproductive tract. It is associated with complications, such as cyclical abdominal pain, urinary retention, and pelvic mass.
CASE SUMMARY
A 13-year-old girl presented several times to the emergency room with lower abdominal pain for a year. She received conservative treatment, such as pain control, at each visit. She visited our gynecological clinic for worsening pain, and a 14-cm hematocolpos was found on ultrasonography. She was finally diagnosed with an imperforate hymen with hematocolpometra. Hymenectomy was performed, which resulted in event-free regular cyclical menstruation.
CONCLUSION
Imperforate hymen should be considered in a premenarcheal adolescent girl with periodic abdominal pain.
Core Tip: Imperforate hymen is a rare obstructive disease of the female reproductive tract. Unlike other congenital anomalies, an imperforate hymen can be diagnosed late in the adolescence. It is important to suspect imperforate hymen in premenarcheal adolescent girls with cyclical abdominal pain.
