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Imperforate Hymen
Aka: Imperforate Hymen
- See Also
- Abdominal Pain in Children
- Epidemiology
- Presents in teenage girls at Menarche
- Pathophysiology
- An Imperforate Hymen traps menstrual blood
- Pain results from blood collection or retrograde menstrual flow into the Pelvis
- Symptoms
- No Menses
- Vague Abdominal Pain
- May be chronic or recurrent
- Signs
- Hematocolpos
- Introitus with blue, bulging membrane
- Represents blood trapped behind Imperforate Hymen
- Management
- Operating room hymenectomy
- Performed by gynecology or pediatric surgery
- Avoid incising Hematocolpos in the emergency department
- References
- Claudius and Willner in Herbert (2019) EM:Rap 19(1): 2-4