Imperforate Hymen

IMPERFORATE HYMEN

Q. 1

Cryptomenorrhea occurs due to :

 A

Imperforate hymen

 B

Asherman’s syndrome

 C

Mullerian agenesis

 D

All

Q. 1

Cryptomenorrhea occurs due to :

 A

Imperforate hymen

 B

Asherman’s syndrome

 C

Mullerian agenesis

 D

All

Ans. A

Explanation:

Imperforate hymen


Q. 2

A 13-year-old young girl presents in the casualty with acute pain in the lower abdomen. She has history of cyclical pain for last 6 months and she has not attained her menarche yet. On local genital examination, a tense bulge in the region of hymen was seen. The most probable diagnosis is:

 A

Rokitansky Kuster Hauser syndrome

 B

Testicular feminization syndrome

 C

Imperforate hymen

 D

Asherman’s syndrome

Q. 2

A 13-year-old young girl presents in the casualty with acute pain in the lower abdomen. She has history of cyclical pain for last 6 months and she has not attained her menarche yet. On local genital examination, a tense bulge in the region of hymen was seen. The most probable diagnosis is:

 A

Rokitansky Kuster Hauser syndrome

 B

Testicular feminization syndrome

 C

Imperforate hymen

 D

Asherman’s syndrome

Ans. C

Explanation:

Imperforate hymen occurs when the mesoderm of the primitive streak abnormally invades the urogenital portion of the cloacal membrane.
It often is not diagnosed until an adolescent presents with complaints of primary amenorrhea and cyclic pelvic pain.
It may present as back pain or difficulty with defecation or urination secondary to mass effect from vaginal distention.
Inspection of the vulva may reveal a purplish-red hymenal membrane bulging outward as a result of accumulation of blood above it (hematocolpos). Blood may fill the uterus (hematometra) and spill through the fallopian tubes into the peritoneal cavity.
 
Ref: Bauman D. (2013). Chapter 37. Pediatric & Adolescent Gynecology. In A.H. DeCherney, L. Nathan, N. Laufer, A.S. Roman (Eds), CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 11e.

Q. 3

Heamatocolpos is seen in:          

September 2005

 A

Septate uterus

 B

Bicornuate uterus

 C

Unicornuate uterus

 D

Imperforate hymen

Q. 3

Heamatocolpos is seen in:          

September 2005

 A

Septate uterus

 B

Bicornuate uterus

 C

Unicornuate uterus

 D

Imperforate hymen

Ans. D

Explanation:

Ans. D: Imperforate Hymen

Hematocolpos is a medical condition in which the vagina fills with menstrual blood.

It is often caused by the combination of menstruation with an imperforate hymen.

A related disorder is Hematometria, where the uterus fills with (menstrual) blood. This can be caused by a congenital stenosis of the cervix, or by a complication of a surgical treatment,



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