Hidden obstruction: A rare case of hematometrocolpos in a young adolescent with vaginal atresia

Hematometrocolpos is a condition characterized by the accumulation of menstrual blood in the uterus and vagina due to an obstruction, often caused by congenital malformations such as vaginal atresia or imperforate hymen. A 12-year-old girl presented with acute pelvic pain and absence of menarche. Ul...

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Bibliographic Details
Published in:Radiology case reports 2025-01, Vol.20 (1), p.727-731
Main Authors: Toscano, Francesco, Bellone, Italo Giuseppe, Musolino, Antonio, Versace, Paolo
Format: Article
Language:English
Subjects:
Hematometrocolpos
Pediatric radiology
Pelvic magnetic resonance imaging
Pelvic pain
Ultrasonography
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Summary:Hematometrocolpos is a condition characterized by the accumulation of menstrual blood in the uterus and vagina due to an obstruction, often caused by congenital malformations such as vaginal atresia or imperforate hymen. A 12-year-old girl presented with acute pelvic pain and absence of menarche. Ultrasound ruled out ovarian pathology but revealed distension of the cervix and vagina. MRI confirmed hematometrocolpos and third middle and distal vaginal atresia. MRI is crucial for diagnosing genital malformations and differentiating hematometrocolpos from other gynecological conditions. Surgical correction was successful, alleviating symptoms and preventing future complications.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2024.10.036