Gynecological clinical case

Authors

  • Daniela Alves Silva Department of Pediatrics, Hospital Santo André, Centro Hospitalar de Leiria
  • Sofia Dias Costa Hospital Pediátrico de Coimbra, Centro Hospitalar e Universitário de Coimbra
  • Maria Carlota Cavazza Department of Gynecology and Obstetrics, Hospital Santo André, Centro Hospitalar de Leiria
  • Alexandra Luz Department of Pediatrics, Hospital Santo André, Centro Hospitalar de Leiria

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v30.i2.19222

Keywords:

diagnosis, hematocolpos, menstrual blood, Hematocolpos/diagnosis; Menstrual blood; Vesical globe

Abstract

Herein is reported the case of a child observed in the Emergency Department due to urinary retention, suprapubic pain, and dysuria. Urine culture was performed upon cystitis suspicion, which was positive for Escherichia Coli, and the patient was treated with amoxicillin and clavulanic acid. Three days later, the child was reevaluated for persistent urinary retention, fever, and vaginal bleeding. At gynecological examination, she had an imperforate hymen. Imaging evaluation was performed, revealing an abdominal mass, suggestive of piohematocolpos. The patient was submitted to surgical drainage, with complete condition resolution.

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References

Silva S, Almeida S. Causa rara de dor abdominal numa adolescente. Acta Pediatr Port 2008; 39:216-8.

Mwenda AS. Imperforate Hymen - a rare cause of acute abdominal pain and tenesmus: case report and review of the literature. Pan Afr Med J. 2013; 15:28.

Sousa H, Fonseca H, Sampaio L. Dor abdominal e retenção urinária aguda em adolescente: apresentação clínica de hematocolpos e revisão da literatura. Nascer e Crescer 2010; 19:152-4.

Álvarez CMG, Reymundo MG, Terrón RR, Ahmed FH. Hematocolpos por himen imperforado: causa infrecuente de dolor abdominal y retención aguda de orina. Rev Pediatr Aten Primaria. 2010; 12:621-6.

Ercan CM, Karasahin KE, Alanbay I, Ulubay M, Baser I. Imperforate hymen causing hematocolpos and acute urinary retention in an adolescent girl. Taiwanese Journal of Obstetrics and Gynecology 2011; 50:118-20.

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Published

2021-06-30

How to Cite

1.
Alves Silva D, Dias Costa S, Carlota Cavazza M, Luz A. Gynecological clinical case. REVNEC [Internet]. 2021Jun.30 [cited 2023Dec.8];30(2):122-4. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/19222

Issue

Vol. 30 No. 2 (2021)

Section

Imaging Cases

License

Copyright (c) 2021 Daniela Alves Silva, Sofia Dias Costa, Maria Carlota Cavazza, Alexandra Luz

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