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At least 19 recordsLinked to original sources
PubMed1999

Resectoscopic treatment of uterus didelphys with unilateral imperforate vagina complicated by hematocolpos and hematometra: case report.

OBJECTIVE: To describe a technique for treating hematocolpos and hematometra in patients with uterus didelphys and unilateral imperforate vagina involving the use of resectoscopy under ultrasonographic control. DESIGN: Case report. SETTING: University hospital. PATIENT(S): A 13-year-old girl with uterus didelphys with unilateral hematometra, hematocolpos, and ipsilateral renal agenesis. The girl complained of severe abdominal pain, which appeared with each of her menses. INTERVENTION(S): The intervention was performed by a vaginoscopic approach to preserve the integrity of the hymen. The first incision on the vaginal wall was performed in correspondence with the hematocolpos under continuous ultrasonographic guidance with the use of a straight resectoscopic loop. Resection of the vaginal septum was continued with the use of an angled resectoscopic loop until almost complete excision of the septum was achieved. MAIN OUTCOME MEASURE(S): Clinical, echographic, and vaginoscopic findings before the operation and 2 and 6 months after the operation. RESULT(S): The surgical procedure was easy to perform. Almost complete excision of the septum was achieved with just a few passages of the resectoscope. Complete drainage of both the hematocolpos and the hematometra was confirmed by ultrasonography. The postoperative period was completely uneventful. Clinical and vaginoscopic evaluations 6 months after the operation confirmed the integrity of the hymen, the complete resolution of clinical symptoms, and the persistence of a large communication between the two vaginas. CONCLUSION(S): Resectoscopic excision under ultrasonographic guidance of the vaginal septum in a girl with uterus didelphys with unilateral hematometra and hematocolpos was effective and easy to perform, and it fully respected the integrity of the reproductive system.

Adolescent↗
PubMed1996

Hematocolpos. An unusual cause of sciatica in an adolescent girl.

STUDY DESIGN: A case report. OBJECTIVE: To document the occurrence of hematocolpos causing sciatica and leg weakness in an adolescent girl. SUMMARY OF BACKGROUND DATA: Low back pain resulting from hematocolpos has been reported previously but not associated with symptoms of sciatica or neurologic weakness. METHODS: The authors were involved in the care of this patient, and all medical records, radiologic investigations, and related literature were reviewed. RESULTS: After being checked for longstanding symptoms of sciatica and leg weakness, the patient underwent a computed tomographic examination of lumbar spine, which showed a large collection in the pelvis consistent with hematocolpos. Surgical drainage of the collection was associated with complete resolution of her symptoms. CONCLUSIONS: Awareness of hematocolpos as a possible cause for sciatica and neurologic symptoms in the lower limbs may lead to earlier diagnosis and, therefore, reduced morbidity in the investigation of the adolescent girl.

Adolescent↗
PubMed1998

[Hematocolpos].

The diagnostic circumstances, clinical features and complementary explorations in hematocolpos are discussed. Hematocolpos due to imperforate hymen is treated by simple star incision protecting the Bartholin gland orifices to separate the hymen and the meatus. Hematocolpos resulting from duplex uterus with a blind hemivagina is more difficult to treat. Systematic screening at birth and treatment during infancy is proposed to prevent the development of hematocolpos at puberty.

Diagnosis, Differential↗
PubMed1998

Hematocolpos caused by genital bullous lesions in a patient with Stevens-Johnson syndrome.

We report a case of complete vaginal fusion with subsequent development of hematocolpos in a 14-year-old sexually inactive girl previously treated for Stevens-Johnson syndrome. The epidermal disease was likely precipitated by Mycoplasma pneumoniae pneumonia. The patient presented with lower abdominal cramping and amenorrhea that had persisted for 5 months. Sonography demonstrated a markedly distended vagina filled with echogenic fluid. A diagnosis of hematocolpos secondary to Stevens-Johnson syndrome was rendered, and the patient underwent surgery with incision of the fused introitus and drainage of about 300 ml of dark blood. While unusual, this case demonstrates that hematocolpos should be considered in patients with a history of epidermal bullous disease and amenorrhea.

Adolescent↗
PubMed1988

[Unilateral hematocolpos in utero-vaginal duplication associated with homolateral renal agenesis. Apropos of 2 clinical case reports].

This is a report of two Cases of unilateral hematocolpos with ipsilateral renal agenesis in a bicornuate uterus with unilateral imperforate vaginal. The Symptoms, operative findings and surgical procedure are described. It is exceptional in the neonatal period to find an Hydro-Hematocolpos associated with complex genitourinary malformations. Easy diagnosis of Hydro-Hematocolpos and its effect on upper urinary tract are made by ultrasonography and intravenous urography.

Adolescent↗
PubMed1999

Distal mucocolpos and proximal hematocolpos secondary to concurrent imperforate hymen and transverse vaginal septum.

A 12-year-old girl had cruciate incision of imperforate hymen draining a large mucocolpos. Her symptoms did not abate thereafter, and 3 months later a transverse vaginal septum was diagnosed. This was perforated and dilated under ultrasound (US) guidance draining a large hematocolpos. Results of examination under anesthesia after 3 months was satisfactory, and she has had normal periods in follow-up for 9 months. Imperforate hymen and transverse vaginal septum are known causes of mucocolpos and hematocolpos. However, the concurrent occurrence of the two abnormalities is unique.

Child, Preschool↗
PubMed1982

Uterus didelphia with left hematocolpos and ipsilateral renal agenesis.

We report a rare case of uterus didelphia with left hematocolpos and ipsilateral renal agenesis, associated with contralateral vesicoureteral reflux and chronic atrophic pyelonephritis. In the literature 9 cases of uterus didelphia with left hematocolpos but without concomitant reflux and recurrent bacterial pyelonephritis are reported. The embryogenesis of müllerian duct abnormalities, associated clinical findings, including abdominal tenderness and pelvic mass, diagnostic modalities of cystoscopy, excretory urography, laparoscopy and hysterosalpinography are discussed. Early accurate diagnosis and treatment will decrease morbidity and unnecessary surgical procedures.

Adolescent↗
PubMed1985

Imperforate hymen with hematocolpos.

Presented are two cases of imperforate hymen with hematocolpos seen in a pediatric emergency department (ED) during a seven-month period. The first case presented with abdominal pain, urinary obstruction, and constipation on initial visit. The diagnosis was not made on the initial presentation. The patient was seen a second time, and final diagnosis was not made until a third visit to the pediatric outpatient clinic. The second case presented with syncope and bilateral lower abdominal pain. Ultrasound and subsequent surgery confirmed the physical findings in the ED of imperforate hymen and hematocolpos. Both patients underwent hymenectomy, and they have experienced no further symptoms.

Abdomen↗
PubMedDate not supplied

Hematocolpos as a cause of back pain in premenarchal adolescents.

Persistent low back pain in children demands thorough investigation. An unusual cause of such discomfort is hematocolpos secondary to imperforate hymen in premenarchal girls. Experience with four patients whose initial primary symptom was low back pain has been documented. All had large pelvic masses with greater than 400 ml of old blood being drained at hymenotomy in all patients. Irritation of the sacral plexus or nerve roots is postulated as a mechanism for the referred back pain. Hematocolpos should be included in the differential diagnosis of prepubertal girls who have low back pain.

Adolescent↗
PubMed1995

Ultrasonic detection of persistent small unilateral hematocolpos in two girls.

Two girls with unilateral hematocolpos are reported. In both cases, a small amount of blood which had accumulated in the partially obstructed hemivagina was detected by real-time high resolution ultrasonography, and was confirmed by magnetic resonance imaging. Both patients were asymptomatic, and were regularly followed up at an outpatient clinic. To date, the hematocolpos persists but continues to be small.

Adolescent↗
PubMed1998

Robinow syndrome, vaginal atresia, hematocolpos, and extra middle finger.

A 14-year-old girl with Robinow syndrome was admitted with severe abdominal pain that had recurred periodically during the last 6 months. She had been followed by us since age 2 months and she had not experienced menarche yet; hematocolpos related to vaginal atresia was diagnosed. She underwent vaginoplasty with cervical construction. Genital system abnormalities are common in Robinow syndrome, but this kind of malformation has not been reported previously.

Abnormalities, Multiple↗
PubMed1978

Hematocolpos: diagnosis made by ultrasound.

A 14 year old girl presented with acute urinary retention. Ultrasonography made an important contribution in the diagnosis of hematocolpos. This is the first case reported in the literature.

Adolescent↗
PubMed1985

Preoperative ultrasound diagnosis of hematocolpos.

A case of hematocolpos in a 17-yr-old girl is presented. The ultrasound findings are described and discussed. With careful ultrasound examination associated severe complications such as hematometra and/or hematosalpinx can be ruled out preoperatively.

Adolescent↗
PubMed2004

Hematocolpos associated with a remote history of chronic vaginitis and a diagnostic vaginal biopsy: a case report.

Bacterial vaginitis is commonly seen in the pediatric population. Severe or recurrent cases may be associated with ulcerative lesions. We report a case of vaginal biopsies of ulcerative lesions in a 9-year-old which led to severe vaginal adhesions, stenosis, and hematocolpos. A vaginoscopy and resection from below were not successful and an exploratory laparotomy with uterine perforation and sounding into the upper vagina were required to reopen the lower vaginal canal. We recommend the limited use of vaginal biopsies in the face of a typical vaginitis presentation, and aggressive treatment to promote mucosa healing when biopsies are required.

Abdomen, Acute↗
PubMed2003

Hematocolpos in double vagina associated with uterus didelphus: US and MR findings.

The malformative syndrome of double vagina in association with uterus didelphus and kidney agenesis is a rare condition, often asymptomatic: if this condition is accompanied by imperforated obstructed hemivagina, the clinical manifestations depend on the presence of hematocolpos. MRI plays an important role for diagnosis because it allows to characterize the nature of the lesion and to evaluate the anatomical details of the uterine malformation. The authors describe this complex genital malformation and discuss the main US and MRI features.

Adolescent↗
PubMedDate not supplied

MR imaging of vaginal agenesis with hematocolpos.

Magnetic resonance imaging of a 14-year-old girl with abdominal pain and known vaginal agenesis revealed massive hematocolpos with a normal cervix and uterine body. Prior ultrasound of this area was significantly limited by bowel loops anterior to the retroflexed uterine body and cervix, which were displaced cephalad out of the pelvic inlet and were not seen. Magnetic resonance is the examination of choice in patients with symptomatic vaginal agenesis prior to surgical correction.

Child, Preschool↗
PubMed1991

Urological complications associated to uterus didelphys with unilateral hematocolpos. A case report and review of the literature.

Complete duplication of vagina, cervix and uterus, with imperforate hemivagina and renal agenesis is a rare condition with less than 120 cases published. In those articles, urological complications are uncommon with only a 10% of the total. We report 2 cases of uterus didelphys with unilateral hematocolpos and ipsilateral renal agenesis with urological clinical complications. One of them presented a very rare onset complaining of acute urinary retention. The other patient was referred for difficulty in micturition and abdominal pain which is the most common symptom of this entity. A description of both cases and a literature review of this congenital complex syndrome and its urological complications are reported.

Adolescent↗