Abstract

Imperforate hymen is a congenital obstructive abnormality of the female genital tract and its incidence is estimated at 1/2000 female births. The diagnosis may go unnoticed during the examination of the new born in the birth room. Most often, this malformation is discovered at puberty. Treatment of Imperforate hymen is hymenotomy or hymenectomy. Different types of incisions are mentioned in the literature. We have reported the case of a 14-year-old girl with hematocolpos and hematometra on hymenal impforforate. In cultures and religions where the loss of the hymen is a social problem among unmarried girls, a medical certificate must be given to the patient.

Highlights

  • Imperforate hymen is a congenital obstructive abnormality of the female genital tract and its incidence is estimated at 1/2000 female births

  • We have reported the case of a 14-year-old girl with hematocolpos and hematometra on hymenal impforforate

  • Imperforate hymen is a rare malformation and its incidence is estimated at 1/2000 female births [1]

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Summary

Introduction

Imperforate hymen is a rare malformation and its incidence is estimated at 1/2000 female births [1]. It is most often diagnosed at puberty with the constitution of a hematocolpos by vaginal retention of the first menstruation. Treatment is a simple surgical procedure with a few types of incisions on the imperforate hymenal membrane. As it is evidence of virginity, an intact hymen is important in some cultures and religions. Since patients and families are afraid of losing their virginity after surgery, the surgeon must choose the best-controlled technique and the one that provides the best natural intact annular hymenal architecture if possible under these circumstances. We report the case of a hymenal imperforation of a 14-year-old girl

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