Abdominal Tumor in a 14-Year-Old Adolescent: Imperforate Hymen, Resulting in Hematocolpos—A Case Report and Review of the Literature

Background. Abdominal masses in female adolescents are uncommon. A rare cause of this condition is hematocolpos due to imperforate hymen. Case. We present a case of an unusually massive asymptomatic abdominal bulk in a 14-year-old female patient, who sought for medical advice after unusual abdominal...

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Main Authors: George Marios Makris, Doris Macchiella, Dennis Vaidakis, Charalampos Chrelias, Marco Johannes Battista, Charalampos Siristatidis
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2015/429740
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author George Marios Makris
Doris Macchiella
Dennis Vaidakis
Charalampos Chrelias
Marco Johannes Battista
Charalampos Siristatidis
author_facet George Marios Makris
Doris Macchiella
Dennis Vaidakis
Charalampos Chrelias
Marco Johannes Battista
Charalampos Siristatidis
author_sort George Marios Makris
collection DOAJ
description Background. Abdominal masses in female adolescents are uncommon. A rare cause of this condition is hematocolpos due to imperforate hymen. Case. We present a case of an unusually massive asymptomatic abdominal bulk in a 14-year-old female patient, who sought for medical advice after unusual abdominal pain lasting for few weeks. The patient was otherwise asymptomatic, apart from an unusual dramatic expansion of her abdominal wall during the last month. We describe the surgical management and the follow-up of the patient. Summary and Conclusion. Clinicians should keep in mind that an imperforate hymen can cause abdominal growth due to hematocolpos and include it in the differential diagnosis of such a clinical entity in female adolescents. 2D ultrasound is usually efficient for the confirmation of the diagnosis of hematocolpos, but 3D ultrasound is more accurate. Wide excision should be undertaken, as an initial approach, to avoid recurrence.
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-ae1c5f3d95ff4e4996962b7218e1fc642025-02-03T05:43:54ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922015-01-01201510.1155/2015/429740429740Abdominal Tumor in a 14-Year-Old Adolescent: Imperforate Hymen, Resulting in Hematocolpos—A Case Report and Review of the LiteratureGeorge Marios Makris0Doris Macchiella1Dennis Vaidakis2Charalampos Chrelias3Marco Johannes Battista4Charalampos Siristatidis5Department of Obstetrics & Gynecology, Medical School, Johannes Gutenberg University of Mainz, Langenbeck Straße 1, 55131 Mainz, GermanyDepartment of Obstetrics & Gynecology, Medical School, Johannes Gutenberg University of Mainz, Langenbeck Straße 1, 55131 Mainz, Germany3rd Department of Obstetrics and Gynecology, Medical School, University of Athens, “Attikon” Hospital, Rimini Street 1, Chaidari, 12462 Athens, Greece3rd Department of Obstetrics and Gynecology, Medical School, University of Athens, “Attikon” Hospital, Rimini Street 1, Chaidari, 12462 Athens, GreeceDepartment of Obstetrics & Gynecology, Medical School, Johannes Gutenberg University of Mainz, Langenbeck Straße 1, 55131 Mainz, Germany3rd Department of Obstetrics and Gynecology, Medical School, University of Athens, “Attikon” Hospital, Rimini Street 1, Chaidari, 12462 Athens, GreeceBackground. Abdominal masses in female adolescents are uncommon. A rare cause of this condition is hematocolpos due to imperforate hymen. Case. We present a case of an unusually massive asymptomatic abdominal bulk in a 14-year-old female patient, who sought for medical advice after unusual abdominal pain lasting for few weeks. The patient was otherwise asymptomatic, apart from an unusual dramatic expansion of her abdominal wall during the last month. We describe the surgical management and the follow-up of the patient. Summary and Conclusion. Clinicians should keep in mind that an imperforate hymen can cause abdominal growth due to hematocolpos and include it in the differential diagnosis of such a clinical entity in female adolescents. 2D ultrasound is usually efficient for the confirmation of the diagnosis of hematocolpos, but 3D ultrasound is more accurate. Wide excision should be undertaken, as an initial approach, to avoid recurrence.http://dx.doi.org/10.1155/2015/429740
spellingShingle George Marios Makris
Doris Macchiella
Dennis Vaidakis
Charalampos Chrelias
Marco Johannes Battista
Charalampos Siristatidis
Abdominal Tumor in a 14-Year-Old Adolescent: Imperforate Hymen, Resulting in Hematocolpos—A Case Report and Review of the Literature
Case Reports in Obstetrics and Gynecology
title Abdominal Tumor in a 14-Year-Old Adolescent: Imperforate Hymen, Resulting in Hematocolpos—A Case Report and Review of the Literature
title_full Abdominal Tumor in a 14-Year-Old Adolescent: Imperforate Hymen, Resulting in Hematocolpos—A Case Report and Review of the Literature
title_fullStr Abdominal Tumor in a 14-Year-Old Adolescent: Imperforate Hymen, Resulting in Hematocolpos—A Case Report and Review of the Literature
title_full_unstemmed Abdominal Tumor in a 14-Year-Old Adolescent: Imperforate Hymen, Resulting in Hematocolpos—A Case Report and Review of the Literature
title_short Abdominal Tumor in a 14-Year-Old Adolescent: Imperforate Hymen, Resulting in Hematocolpos—A Case Report and Review of the Literature
title_sort abdominal tumor in a 14 year old adolescent imperforate hymen resulting in hematocolpos a case report and review of the literature
url http://dx.doi.org/10.1155/2015/429740
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