Symptomatic Imperforate Hymen in Early Infancy: A Case Report
Imperforate hymen, though a congenital anomaly, usually presents late in puberty as lower
abdominal pain, primary amenorrhea, and cyclical pain. Blood collects in vagina and uterus,
proximal to imperforate hymen leading to their distention. Its presentation at infancy is a rare entity.
We report such a rare case of symptomatic imperforate hymen in infancy, who presented with acute
retention of urine, chills and rigor. Abdominal examination revealed an intra-abdominal mass in the
lower abdomen and pelvis with the absence of vaginal opening on perineal examination. Contrast enhanced computed tomography abdomen showed large abdominopelvic cystic lesion posterior to
the urinary bladder and anterior to the rectum consistent with a highly distended vagina. She was
managed by the incision of the imperforate hymen and drainage of the pus. A high index of suspicion
is necessary whenever a female infant presents with abdomino-pelvic mass with symptoms of fever
or urinary retention.
Copyright (c) 2020 Subash Phuyal, Pooja Agrawal, Geharaj Dahal
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