Pelvic pain in young girls: not only dysmenorrhoea!. (8th November 2018)

• Record Type: Journal Article
• Authors: Veiga, Vera Furtado; Ribeiro, Barbara; Afonso, Hermínia; Reis, Isabel
• Is Part Of: BMJ case reports. Volume 2018
• Publication Date: 2018-11-08
• Subjects: obstetrics, gynaecology and fertility -- congenital disorders; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2018-226041
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Imperforate hymen is the most frequent cause of haematocolpos, although it is a rare malformation (1:2000). We present two cases of young girls with cyclic abdominal pain and urinary symptoms. At gynaecological examination, they all presented imperforate hymen and ultrasound revealed significant vaginal distension. X-shaped hymenectomy was performed in all patients. The later the diagnosis of imperforate hymen, the higher the risk of complications like haematometra, haematosalpinx, haemoperitoneum and infections such as tubo-ovarian abscesses, peritonitis and endometriosis (retrograde menstruation theory).