Since she was amenorrheic for the last three years due to the levonorgestrel-releasing IUD, hematocolpos, and hematometra did not develop.
Hematocolpos caused by genital bullous lesions in a patient with Stevens-Johnson syndrome.
Management of hematocolpos
in adolescent with transverse vaginal septum.
Se realiza laparoscopia en la que se reporta utero bidelfo, hematocolpos, agenesia renal derecha, hidronefrosis izquierda y probable estenosis uretero-pielica confirmando las sospechas por los examenes de imagen.
2) En este caso la paciente curso con un hematocolpos, siendo el motivo de consulta el dolor intenso que este le provocaba.
Children may present with mucocolpos, whereas adolescents develop hematocolpos.
Most patients have a rudimentary, nonfunctioning uterus, but 2% to 7% have a uterus with functioning endometrium and present with cyclic or chronic abdominopelvic pain secondary to obstruction or endometriosis, hematocolpos, or hematometra.
Surgery (by an experienced vaginal surgeon) is best performed when a large hematocolpos is present because distention increases the amount of tissue available for pull-through.
For diagnosis, ultrasonography can be used as primary modality that can show utero vaginal duplication, hematocolpos
or hematometra and absent ipsilateral kidney.
1, as a large distended hematocolpos
is easy to visualize and palpate, which aids in resection.
Although some amount of hematocolpos and/or hematometra may be present at diagnosis, the volume may not be sufficient to cause obstructive symptoms.
Yoder IC, Pfister RC (1976) unilateral hematocolpos and ipsilateral renal agenesis: Report of two cases and review of the literature.