Case Report

Imperforate hymen with hematocolpometra: A new diagnostic approach using 2D and 3D translabial ultrasonography

Zacharakis Dimitrios, Domali Ekaterini, Antsaklis Panos, Daskalakis George

First Department of Obstetrics and Gynecology, University of Athens, Alexandra hospital, Athens, Greece

Correspondence: Daskalakis George, 8 Metaxa St & 1 Vasilissis Sofias St, P. Penteli, GR – 15236, Athens, Greece, E – mail: gdaskalakis@yahoo.com


Abstract

Imperforate hymen is a urogenital tract anomaly that represents the most frequent congenital malformation of the female genital tract. We present a case of a young girl who was referred to our pediatric and adolescent gynecological department with a transabdominal ultrasound showing a suspicious pelvic mass. Using translabial ultrasonography the diagnosis of imperforate hymen was confirmed. Translabial ultrasound scan provides an excellent alternative to the transvaginal technique where vaginal access is impossible. Furthermore, allows differentiating imperforate hymen from low transverse vaginal septum, thus helping clinicians in tailoring management options.

Keywords: Abdominal pain, hematocolpometra, imperforate hymen, pelvic mass, translabial ultrasonography

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