CryptoImperforate Hymen with a Huge Abdominal Mass and Massive Hematocolpometra in a 15-Year-Old Girlmenorrhea with a Huge Abdominal Mass and Massive Hematocolpometra in a 15-Year-Old Girl: Cryptomenorrhea with huge abdominal mass

Oluwadare Martins Ipinnimo; ifeanyi Martins Okoye; Kayode Adeniyi; Tope Michael Ipinnimo; Oluseyi Igbekele Ipinnimo; Chukwunonso Onyejide Ezrah

doi:10.38029/babcockuniv.med.j..v6i2.315

CryptoImperforate Hymen with a Huge Abdominal Mass and Massive Hematocolpometra in a 15-Year-Old Girlmenorrhea with a Huge Abdominal Mass and Massive Hematocolpometra in a 15-Year-Old Girl

Cryptomenorrhea with huge abdominal mass

Authors

Ipinnimo OM Department of Obstetrics and Gynaecology, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria
Okoye IM Department of Obstetrics and Gynaecology, Westcare Specialist Hospital Ejigbo, Lagos State, Nigeria
Adeniyi K Department of Obstetrics and Gynaecology, Westcare Specialist Hospital Ejigbo, Lagos State, Nigeria
Ipinnimo TM Federal Teaching Hospital, Ido-Ekiti
Ipinnimo OI Department of Hematology, Ekiti State University, Ado Ekiti, Nigeria
Ezrah CO Metropolitan University College of Medicine, Antigua and Barbuda

DOI:

https://doi.org/10.38029/babcockuniv.med.j..v6i2.315

Keywords:

Cryptomenorrhea, imperforate hymen, hematocolpometra, hematocolpos, hymenectomy

Abstract

Background: Imperforate hymen is one of the commonest embryological defects of the lower genital tract which occurs due to failure of canalization of the sinovaginal bulb. Its incidence is 1 in 2000 girls.

Case Presentation: This case is of a 15-year-old nullipara who presented on account of a 2-month history of recurrent abdominal pain, hesitancy, and primary amenorrhea. Her physical examination reveals a huge abdominopelvic mass about the size of a 26 weeks intra-uterine gestation, and a vagina examination revealed an imperforate hymen. A pelvic ultrasound confirmed a massive hematometra and hemaltocolpos leading to a diagnosis of imperforate hymen. She had a hymenotomy with a cruciate incision to drain the menstrum.

Conclusion: Pediatricians and gynaecologists need a high index of suspicion to diagnose this defect for earlier treatment and reduced morbidity due to late diagnosis.

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Imperforaate hymen

Published

2023-12-31

How to Cite

Ipinnimo, O. M., Okoye, ifeanyi M., Adeniyi, K., Ipinnimo, T. M., Ipinnimo, O. I., & Ezrah, C. O. (2023). CryptoImperforate Hymen with a Huge Abdominal Mass and Massive Hematocolpometra in a 15-Year-Old Girlmenorrhea with a Huge Abdominal Mass and Massive Hematocolpometra in a 15-Year-Old Girl: Cryptomenorrhea with huge abdominal mass. Babcock University Medical Journal, 6(2), 215–219. https://doi.org/10.38029/babcockuniv.med.j.v6i2.315