Spontaneous rupture of the imperforate hymen in two newborns

Imperforate hymen is the most frequent congenital malformation of the female genital tract and usually remains asymptomatic until puberty. The diagnosis of this malformation is rarely made at birth and surgical treatment is often by hymenotomy. However, spontaneous rupture of the imperforate hymen i...

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Bibliographic Details
Published in:Archives de pédiatrie : organe officiel de la Société française de pédiatrie 2016-03, Vol.23 (3), p.275-278
Main Authors: Ben Hamouda, H, Ghanmi, S, Soua, H, Sfar, M T
Format: Article
Language:fre
Subjects:
Female
Humans
Hymen - abnormalities
Infant, Newborn
Menstruation Disturbances - diagnosis
Menstruation Disturbances - therapy
Rupture, Spontaneous
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Summary:Imperforate hymen is the most frequent congenital malformation of the female genital tract and usually remains asymptomatic until puberty. The diagnosis of this malformation is rarely made at birth and surgical treatment is often by hymenotomy. However, spontaneous rupture of the imperforate hymen is possible but is very rare. We report two cases of imperforate hymen revealed by mucocolpos at birth. Ultrasound examination does not objectify hydrocolpos or hydrometrocolpos. Spontaneous rupture of the imperforate hymen was observed respectively in the 4th and 7th day of life with a satisfactory result at 1 month of age. Screening for the imperforate hymen must be systematic at birth to offer early hymenotomy if the spontaneous rupture is not adequate and prevent serious complications of the disease at puberty.
ISSN:1769-664X
DOI:10.1016/j.arcped.2015.11.022