TY - JOUR AU - Fairuza, Firda PY - 2022/12/22 Y2 - 2024/03/29 TI - Haematocolpos and Secondary Hematometra Due to Imperforate Hymen: Diagnosis and Treatment JF - Jurnal Biomedika dan Kesehatan JA - J Biomedika dan Kesehat VL - 5 IS - 3 SE - Case Report DO - 10.18051/JBiomedKes.2022.v5.228-235 UR - https://jbiomedkes.org/index.php/jbk/article/view/286 SP - 228-235 AB - <p><strong>Background</strong><br />Imperforate hymen is an uncommon congenital anomaly of the female genital tract and is rarely <br />diagnosed in newborns. An imperforate hymen is a cause of primary amenorrhea.</p><p><strong>Case Description</strong><br />A 12-year-old girl was admitted to the pediatric outpatient clinic with cyclic abdominal pain for eight <br />days. She had lower abdominal pain with dysuria and constipation for the previous six weeks. There <br />is a bulging mass on the perineal that appears when straining. Fever, nausea, vomitus, abdominal <br />enlargement, and leucorrhea were denied; breast enlargement since 12 years old with no history of <br />menarche. The patient vital signs were normal. On physical examination obtained, lower abdominal <br />pain and tender suprapubic mass were palpable. The pubertal status was normally secondary sexual <br />characteristics. An interlabial mass was found protruding from the introitus vagina and the hymen <br />intact on inspection of the external genitalia. Laboratory and urinalyses revealed normal. <br />Hematometra and hematocolpos were found on abdominal ultrasonography, which led to the <br />diagnosis of imperforate hymen. Therefore, a hymenectomy was performed and evacuated 520 ml of <br />dark red blood. The patient’s condition was good, and she had regular menstruation.</p><p><strong>Conclusions</strong><br />Imperforate hymen is an easy diagnosis, but sometimes clinicians are oblivious to including this in the <br />differential diagnosis of lower abdominal pain in pubescent girls with primary amenorrhea. Also, a <br />lack of awareness about the importance of external genitalia examination as part of routine physical <br />examination in children and adolescents makes this diagnosis easily missed or delayed.</p> ER -