Abstract
Remote rural area with limited medical facilities had to under emergency lower caesarean section for acute labour as no vaginal opening was noticed. Patient was referred to tertiary centre for further management. JMS 2012;15(2):184-85
Highlights
Micro perforate hymen is a rare congenital entity, mistaken for imperforate hymen
A microperforate hymen is a rare congenital anomaly frequently mistaken for an imperforate hymen having pinhead sized opening, permitting normal menstrual flow which lasts longer due to the fact that blood cannot come out at a normal rate
Pregnancy with intact hymen without emission of penis are very rare entity, and sexual intercourse leads to dyspareunia and disturbances in married life
Summary
Micro perforate hymen is a rare congenital entity, mistaken for imperforate hymen. Twenty eight years primigravida from remote rural area with limited medical facilities had to under emergency lower caesarean section for acute labour as no vaginal opening was noticed. Hymen is a membrane that surrounds or partially covers the external vaginal opening. The size of the hymenal opening increases with age.
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