A Rare Presentation of Imperforate Hymen: A Case Report

Introduction. Acute urinary retention in a child is rare. Haematocolpos can cause a mechanical obstruction, resulting in acute urinary retention. Case Report. A 12-year-old girl presented to the surgical department with a one-day history of acute urinary retention and suprapubic tenderness. She had...

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Main Authors: Beena Salhan, Olufunmilayo Theresa Omisore, Priyadarshi Kumar, John Potter
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2013/731019
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author Beena Salhan
Olufunmilayo Theresa Omisore
Priyadarshi Kumar
John Potter
author_facet Beena Salhan
Olufunmilayo Theresa Omisore
Priyadarshi Kumar
John Potter
author_sort Beena Salhan
collection DOAJ
description Introduction. Acute urinary retention in a child is rare. Haematocolpos can cause a mechanical obstruction, resulting in acute urinary retention. Case Report. A 12-year-old girl presented to the surgical department with a one-day history of acute urinary retention and suprapubic tenderness. She had not started menses but had described period-like pains every month for the past six months. On examination, she had a palpable bladder with over 500 mls of residual urine and a bluish-grey bulge posterior to her urethral meatus. An US scan showed a large mass posterior to her bladder resembling a haematocolpos, and this was confirmed with an MRI scan. She was catheterised and eventually underwent a hymenectomy using a cruciate incision. She made a good recovery postoperatively. Conclusion. In the case of a peripubertal female presenting with acute urinary retention, haematocolpos should be considered as a diagnosis.
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institution Kabale University
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series Case Reports in Urology
spelling doaj-art-6648512d182a481d930228076bd6c4482025-02-03T01:09:38ZengWileyCase Reports in Urology2090-696X2090-69782013-01-01201310.1155/2013/731019731019A Rare Presentation of Imperforate Hymen: A Case ReportBeena Salhan0Olufunmilayo Theresa Omisore1Priyadarshi Kumar2John Potter3Northampton General Hospital, Cliftonville, Northampton NN1 5BD, UKNorthampton General Hospital, Cliftonville, Northampton NN1 5BD, UKNorthampton General Hospital, Cliftonville, Northampton NN1 5BD, UKNorthampton General Hospital, Cliftonville, Northampton NN1 5BD, UKIntroduction. Acute urinary retention in a child is rare. Haematocolpos can cause a mechanical obstruction, resulting in acute urinary retention. Case Report. A 12-year-old girl presented to the surgical department with a one-day history of acute urinary retention and suprapubic tenderness. She had not started menses but had described period-like pains every month for the past six months. On examination, she had a palpable bladder with over 500 mls of residual urine and a bluish-grey bulge posterior to her urethral meatus. An US scan showed a large mass posterior to her bladder resembling a haematocolpos, and this was confirmed with an MRI scan. She was catheterised and eventually underwent a hymenectomy using a cruciate incision. She made a good recovery postoperatively. Conclusion. In the case of a peripubertal female presenting with acute urinary retention, haematocolpos should be considered as a diagnosis.http://dx.doi.org/10.1155/2013/731019
spellingShingle Beena Salhan
Olufunmilayo Theresa Omisore
Priyadarshi Kumar
John Potter
A Rare Presentation of Imperforate Hymen: A Case Report
Case Reports in Urology
title A Rare Presentation of Imperforate Hymen: A Case Report
title_full A Rare Presentation of Imperforate Hymen: A Case Report
title_fullStr A Rare Presentation of Imperforate Hymen: A Case Report
title_full_unstemmed A Rare Presentation of Imperforate Hymen: A Case Report
title_short A Rare Presentation of Imperforate Hymen: A Case Report
title_sort rare presentation of imperforate hymen a case report
url http://dx.doi.org/10.1155/2013/731019
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