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Imperforate hymen in an Adolescent a Rare Cause of Acute Abdominal Pain A Case Report

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

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      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.

      Item Type: Article
      Subjects: R Medicine > R Medicine (General)
      Divisions: Fakultas Kedokteran > Fakultas Kedokteran Umum
      Depositing User: Mr. Benhard W. Tampangela, ST
      Date Deposited: 27 Jul 2017 16:06
      Last Modified: 03 Aug 2017 10:19
      URI: http://repo.unsrat.ac.id/id/eprint/1576

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