İmperfore Himene Bağlı Karın Ağrısının Over Torsiyonuyla Karıştığı Bir Olguda Fizik İncelemenin Önemi
Abstract
Imperforate hymen has been reported to occur in one in 2000 in females and it is mostly a sporadic event. In almost all cases, patients apply to the
hospital with complaints of primary amenorrhea or pelvic pain. The diagnosis is made during physical examination. A 13 years old female patient
was referred to our hospital with a preliminary diagnosis of ovarian torsion. Physical examination showed that the external genital organs were
normal, but bulging-bombing with blue reflection (without straining) was found where the vestibule should be monitored. She was operated under
general anesthesia for hematocolpos due to imperforate hymen. Physical examination may prevent unnecessary procedures and examinations and
also accelerate the treatment process especially as in the cases that can be easily diagnosed with a special examination finding such as imperforate
hymen.
Keywords
References
- 1. Parazzini F, Cecchetti G. The frequency of imperforate himen in Northern Italy. Int J Epidemiol. 1990;19:763-764.
- 2. Posner JC, Spandorfer PR. Early detection of imperforate himen prevents morbidity from delays in diagnosis. Pediatrics. 2005;115:1008-1012.
- 3. Hall DJ. An unusual case of urinary retention due to imperforate himen. J Accid Emerg Med. 1999;16:232-236.
- 4. Letts M, Haasbeek J. Hematocolpos as a cause of back pain in premenarchal adolescents. J Pediatr Orthop. 1990;10:731-732.
- 5. McCann J, Wells R, Simon M, et al. Genital findings in prepubertal girls selected for nonabuse: a descriptive study. Pediatrics. 1990;86:428-439.
- 6. Doğan ÖF, Şentürk M, Aslan S, ve ark. Abdominal Kitle ile Başvuran Imperfore Himen Olgusu. Osmangazi Tıp Dergisi. 2014;36:1-4.
- 7. Kafadar S, Kafadar H. Karın Ağrısı Şikâyeti ile Gelen Ergen Kızlarda İmperfore Himene İkincil Hematokolpos. Adıyaman Üniv Sağlık Bilimleri Derg. 2017;3:407-417.
- 8. Banerjee AK, Clarke O, MacDonald LM. Sonographic detection of neonatal hydrometrocolpos. Br J Radiol. 1992;65:268-271.
- 9. Naffaa L, Deshmukh T, Tumu S, et al. Imaging of Acute Pelvic Pain in Girls: OvarianTorsion and Beyond Curr Probl Diagn Radiol. 2017;46:317-329.
- 10. 10.Mayer WR, McCoy MC Fritz MA. Combined abdominal perineal sonography to assist in diagnosis of transverse vaginal septum. ObstetGynecol. 1995;85:882-888.