Gynecological clinical case
Keywords:diagnosis, hematocolpos, menstrual blood, Hematocolpos/diagnosis; Menstrual blood; Vesical globe
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.
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.
How to Cite
Copyright (c) 2021 Daniela Alves Silva, Sofia Dias Costa, Maria Carlota Cavazza, Alexandra Luz
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright and access
This journal offers immediate free access to its content, following the principle that providing free scientific knowledge to the public provides greater global democratization of knowledge.
The works are licensed under a Creative Commons Attribution Non-commercial 4.0 International license.
Nascer e Crescer – Birth and Growth Medical Journal do not charge any submission or processing fee to the articles submitted.