Abstract
Background: Imperforate hymen (IH) is formed if no canal is created between the vaginal plate and the urogenital sinus. Treatment of IH is surgical. Different types of incisions and postoperative treatment are proposed. Case: A 12-year-old girl presented with a 3-day history of pain in the lower abdomen. Examination of the external genitalia disclosed a bulging hymen. Ultrasound examination of her lower abdomen revealed hematocolpos. A diagnosis of hematocolpos caused by IH was established and surgical treatment was decided. Conclusion: Treatment of choice for IH is undeniably surgical. Although different types of procedures have been proposed, the surgeon should choose the one that best suits the patient’s needs without harming anatomical structures closely related to the hymen.
Highlights
The hymen is a membrane located in the vaginal opening at the level of the introitus and is composed of urogenital sinus epithelial connective tissue [1] [2] [3] [4] [5]
Imperforate hymen (IH) is formed if no canal is created between the vaginal plate and the urogenital sinus
A diagnosis of hematocolpos caused by IH was established and surgical treatment was decided
Summary
The hymen is a membrane located in the vaginal opening at the level of the introitus and is composed of urogenital sinus epithelial connective tissue [1] [2] [3] [4] [5]. During the final weeks of the embryologic development, a canal is created between the vaginal plate and the urogenital sinus [1] [2] [4] [6] [7] [8]. An imperforate hymen (IH) is a congenital disorder whereby the hymenal membrane covers the entire vaginal opening, causing genital outflow obstruction which leads to hematocolpos. The condition is mostly detected in ado-
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
