How is Hematometrocolpos treated?
Treatment consists of hymenectomy and drainage. When complications are found (f.i. hydronephrosis or evidence of perforation), management may include more urgent treatment. In conclusion, hemato(metro)colpos is an accumulation of blood in the vagina (and uterus), mostly due to an imperforate hymen.
What is Hematometrocolpos?
Hematometrocolpos is accumulation of blood in the vagina and uterine cavity due to intra-uterine hemorrhage.
What causes Hematometrocolpos?
Hematometrocolpos is caused by an imperforate hymen and subsequent retrograde menstruation. It presents in young women and can have damaging consequences. What makes this presentation of disease reportable? Imperforate hymen is a congenital abnormality that is rarely seen in the emergency department.
How common is hematocolpos?
Transverse vaginal septa are relatively rare anomalies, occurring in about 1 in 70,000 girls. The diagnosis can be made at various ages, from neonates presenting with hydrocolpos to young women presenting with primary amenorrhea and pelvic pain due to the development of hematocolpos.
Can endometritis be seen on ultrasound?
We have shown that identifying the subserosal hypoechoic rim and endomyometrial junction indistinctness on ultrasound scans can reliably help to distinguish patients with acute postpartum endometritis from other complications, particularly in full-term postpartum patients.
How do you treat imperforate hymen?
Treatment. A minor surgery can fix an imperforate hymen. The surgeon makes a small cut or incision and removes the extra hymen membrane. Girls who are diagnosed with imperforate hymen as babies most often have surgery when they are older and have just started puberty.
What does a imperforate hymen look like?
It generally has a ring-like appearance with a small opening. There’s no real medical purpose for the hymen, although some think it may have evolved over time to help protect the vagina from infection. Most girls have a small crescent- or donut-shaped opening in their hymen.
What happens if you have an imperforate hymen?
In cases of partial imperforation, the vagina still has a small opening — but this opening is blocked with extra tissue. When the hymen has no opening, it blocks the vaginal canal. The condition usually gets diagnosed when the girl becomes a teenager or has her first period.
How do you know if you have imperforate hymen?
What are the symptoms of imperforate hymen in young girls? Common symptoms include: lack of a first menstrual cycle. abdominal pain, back pain, or difficulty with urination at the time of her first period when the blood backs up in the vaginal canal.
Why is there blood in my cervix?
Pregnancy is a common cause. Polyps or fibroids (small and large growths) in the uterus can also cause bleeding. Rarely, a thyroid problem, infection of the cervix, or cancer of the uterus can cause abnormal uterine bleeding. In most women, abnormal uterine bleeding is caused by a hormone imbalance.
What is a hematometrocolpos and what are the symptoms?
Hematometrocolpos is a rare condition which occurs when the uterus fills with menstrual blood. Symptoms are typically a lack of a menstrual period, recurrent pelvic pain, and a pelvic mass.
What is the prevalence of hematometrocolpos?
Hematometrocolpos refers to a blood-filled distended uterus and vagina usually due to an anatomical mechanical obstruction precluding the evacuation of the menstrual blood. The estimated incidence in teenagers is at ~1 in 1000-2000 5.
What is the role of Pocus in the workup of hematometrocolpos?
POCUS can also be used to assess for complications of hematometrocolpos, including hydronephrosis (due to compressive effects of the fluid collection) and free fluid in the abdomen from uterine perforation. Treatment of imperforate hymen consists of surgical repair, ideally after the tissues have undergone estrogen stimulation.