Tuboovarian Abscess as Primary Presentation for Imperforate Hymen
Joint Authors
Ho, Jeh Wen
Loong, R.
Fleming, T.
Angstetra, D.
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-04-16
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Objective.
Imperforate hymen represents the extreme in the spectrum of hymenal embryological variations.
The archetypal presentation in the adolescent patient is that of cyclical abdominopelvic pain in the presence of amenorrhoea.
We reported a rare event of imperforate hymen presenting as a cause of tuboovarian abscess (TOA).
Case Study.
A 14-year-old girl presented to the emergency department complaining of severe left iliac fossa pain.
It was her first episode of heavy bleeding per vagina, and she had a history of cyclical pelvic pain.
She was clinically unwell, and an external genital examination demonstrated a partially perforated hymen.
A transabdominal ultrasound showed grossly dilated serpiginous fallopian tubes.
The upper part of the vagina was filled with homogeneous echogenic substance.
Magnetic resonance imaging (MRI) demonstrated complex right adnexa mass with bilateral pyo-haemato-salpinges, haematometra, and haematocolpos.
In theatre, the imperforate hymen was opened via cruciate incision and blood was drained from the vagina.
At laparoscopy, dense purulent material was evacuated prior to an incision and drainage of the persistent right TOA.
Conclusion.
Ideally identification of imperforate hymen should occur during neonatal examination to prevent symptomatic presentation.
Our case highlights the risks of late recognition resulting in the development of sepsis and TOA.
American Psychological Association (APA)
Ho, Jeh Wen& Angstetra, D.& Loong, R.& Fleming, T.. 2014. Tuboovarian Abscess as Primary Presentation for Imperforate Hymen. Case Reports in Obstetrics and Gynecology،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-449068
Modern Language Association (MLA)
Ho, Jeh Wen…[et al.]. Tuboovarian Abscess as Primary Presentation for Imperforate Hymen. Case Reports in Obstetrics and Gynecology No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-449068
American Medical Association (AMA)
Ho, Jeh Wen& Angstetra, D.& Loong, R.& Fleming, T.. Tuboovarian Abscess as Primary Presentation for Imperforate Hymen. Case Reports in Obstetrics and Gynecology. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-449068
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-449068