Peds

Imperforate Hymen

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Imperforate Hymen

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