BACKGROUND Hydrometrocolpos (HMC) develops as a result of vaginal outflow obstruction and the accumulation of secretions. It might be secondary to persistent cloaca, urogenital sinus, some syndromes, presence of the vaginal septum, vaginal atresia, and imperforate hymen. Each of them has different treatment options and follow-up protocols. This study was performed to identify the etiology and t...

A major milestone in a woman's life is the loss of virginity, "defloration," with the breaking of the hymen. Psychoanalysis has paid little attention to the meaning of defloration to either women or men, and virtually none to the hymen as a part of the female genitalia. The reasons for this disregard or avoidance are explored. Utilizing the few psychoanalytic writings, mythology, literature, an...

Imperforate hymen is the most frequent obstructive anomaly of the female genital tract. It can be diagnosed on prenatal ultrasound as bladder outlet obstruction, due to hydrocolpos or mucocolpos 1 and postnatally on physical examination of the perineum and abdomen. No additional tests or investigative tools are required for diagnosis per se. We share our experience of two index cases of imperfo...

Although Imperforate hymen is a rare condition, it is the most common obstructive anomaly of the female genital tract. The early diagnosis of this condition requires a high index of suspicion in newborns and in females without a history of menarche. Hydronephrosis is a known but rare complication of an imperforate hymen. Hereby we preset 2 cases of premenstrual adolescent with urinary retention...

1. List three reasons why children may not reveal sexual abuse. 2. Be familiar with a normal hymen in a preadolescent and adolescent female. 3. Recognize a laceration of the hymen rim. 4. Describe the immediate and long-term adverse behavioral consequences and the physical consequences of sexual abuse. 5. Discuss why results of the genital examination may be normal after sexual abuse. 6. Apprec...

although imperforate hymen is a rare condition, it is the most common obstructive anomaly of the female genital tract. the early diagnosis of this condition requires a high index of suspicion in newborns and in females without a history of menarche. hydronephrosis is a known but rare complication of an imperforate hymen. hereby we preset 2 cases of premenstrual adolescent with urinary retention...

To cite: Ramphul M, Perry L, Bhatia C. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016215434 DESCRIPTION A 34+4 weeks neonate was born by spontaneous vaginal delivery with normal antenatal scans. Routine neonatal examination revealed the absence of a vaginal opening with bulging of vaginal introitus (figure 1). Urethral and anal openings were patent. A provis...

Our purpose is to present the ultrasonographic findings of a rare case of prenatally and postnatally congenital hydrometrocolpos secondary to imperforate hymen. By ultrasonography (US) at 38 weeks of gestation, a retrovesical, 60 x 43 mm pelvic cystic mass, was demonstrated in a female fetus. After delivery, US of the newborn revealed a 77 x 60 mm retrovesical, pear-shaped cystic structure with...

We report the prenatal sonographic diagnosis of hydrometrocolpos caused by an imperforate hymen in a Down syndrome fetus, with spontaneous evacuation on the third day of life. In this case, sonographic evaluation in the 37th week revealed a large retrovesical, sharply marginated, heterogeneous, unilocular cystic structure within the fetal abdomen extending to the left side of the umbilicus.