Suseno, Aldo and Wantania, John and Wagey, Freddy W.
(2015)
Imperforate hymen in an Adolescent a Rare Cause of Acute Abdominal Pain A Case Report.
The Journal of Obstetrics and Gynecology Research, 41 (51).
ISSN 1447-0756
Abstract
Background: Imperforate hymen is a condition where
hymen is completely closed so that menstrual blood
cannot flow out. Imperforate hymen is likely the most
frequent obstructive anomaly of the female genital tract,
but estimates of its frequency vary from 1 case per 1000
population to 1 case per 10 000 population. A
population-based study estimated the frequency at 0.5
case per 1000 women. The diagnosis in these patients is
established based on history and physical examination.
Imperforate hymen is a congenital malformation, but it
can also occur as a result of scar tissue due to previous
occlusive injury or infection.
Case Description: JK, female, Minahasan, 12 years
9 months, came to Emergency department at Pancaran
Kasih Hospital, Manado on September 27th, 2014 with
main complaint of never hadmenstruation yet accompanied
by lower abdominal pain. Treatment of Imperforate
Hymen can be done in non surgical and surgical measure.
An imperforate hymen at the time of pubertymust
corrected by surgically. The objective of a hymenotomy
procedure is opened the hymenal membrane in such a
way as to leave a normally patent vaginal orifice that
does not scar. Currently, in this patient has done
hymenotomy and vaginal drainage that aims to remove
the existing hematocolpos. The prognosis of this patient
is dubia.
Conclusion: Imperforate hymen is a rare condition but
should be easy to diagnose when it presents. It should
be suspected in pubertal girls who presented with acute
abdominal pain.
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