A Rare Case Report of a Congenital Imperforate Hymen Causing Obstructive Uropathy and Constipation in an 11-Year-Old Girl.

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL
International Medical Case Reports Journal Pub Date : 2024-11-28 eCollection Date: 2024-01-01 DOI:10.2147/IMCRJ.S494697
Cecilia Putri Tedyanto, Sianty Dewi, Fransiscus Iman Santoso, Maria Aloysia Praldinya Ere, Kevan Ryvanto Oeylex
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引用次数: 0

Abstract

Imperforate hymen is a rare congenital anomaly that can cause mild to severe complications, which leads to an increase in morbidity rates. The incidence is 1:1000, and there was often a delay in diagnosis since the symptoms were not specific until it caused several complications in other organ systems. We reported a case of obstructive uropathy and constipation in an 11-year-old girl who presented with huge hematocolpos due to imperforate hymen. The main symptom was severe lower abdominal pain with a visual analogue scale of 8. This case shows the significance of a physical examination in diagnosing, increasing efficiency in terms of time and cost, and supporting an earlier diagnosis. A corrective hymenectomy, blood drainage, and hymenoplasty were performed as the definitive management. The patient was able to urinate and defecate within seven hours after surgery. The patient also had her period three weeks after surgery.

一例罕见的报告先天性处女膜闭锁导致梗阻性尿路病变和便秘在一个11岁的女孩。
处女膜闭锁是一种罕见的先天性异常,可引起轻微至严重的并发症,导致发病率增加。发病率为1:1000,由于症状不明确,直到引起其他器官系统的并发症,诊断往往会延迟。我们报告一例梗阻性尿路病变和便秘在一个11岁的女孩谁提出了巨大的结肠血由于处女膜闭锁。主要症状为严重的下腹痛,视觉模拟评分为8分。该病例显示了体格检查在诊断中的重要性,提高了时间和成本方面的效率,并支持早期诊断。矫正性处女膜切除术、血液引流和处女膜成形术是最终的治疗方法。手术后7小时内,患者能够排尿和排便。患者在手术后三周也来了月经。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Medical Case Reports Journal
International Medical Case Reports Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
1.40
自引率
0.00%
发文量
135
审稿时长
16 weeks
期刊介绍: International Medical Case Reports Journal is an international, peer-reviewed, open access, online journal publishing original case reports from all medical specialties. Submissions should not normally exceed 3,000 words or 4 published pages including figures, diagrams and references. As of 1st April 2019, the International Medical Case Reports Journal will no longer consider meta-analyses for publication.
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