Yeşim TEKİN BAYOĞLU, Emine Selda GÜVEN GÜVENDAĞ, Figen Kır ŞAHİN

İmperfore hymene sekonder oluşan pelvik kitlenin hymen koruyucu cerrahi ile tedavisi

İmperfore hymen en sık görülen Müllerian kanal anomalisidir ve çoğunlukla adolesan dönemde tanısı konulmaktadır. Olgumuz pelvik kitle tanısı ile araştırılırken detaylı bir klinik öykü ve fizik muayene ile tanısı almıştır. Yapılan cerrahi müdahale ile hymenal halka yeniden oluşturulmuş ve hematokolpos boşaltılmıştır

Treatment of a pelvic mass developed secondary to imperforate hymen by hymen sparing surgery

Imperforate hymen is the most seen Mullerian canal anomaly and commonly diagnosed at adolescent period. Our case was diagnosed during evaluation of a pelvic mass by detailed clinical history and physical examination. Hymenal ring was re-established and hematocolpos was drained by surgical intervention.

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1. Heger AH, Ticson L, Guerra L, et al. Appearance of the genitalia in girls selected for nonabuse: Review of hymenal morphology and nonspecific findings. J Pediatr Adolesc Gynecol 2002;15(1):27-35. 2. Erdemoglu E, Kolusarı A, Şahin GH, Kamacı M. Familyal imperfore himen. J Turkish German Gynecol Assoc 2007;8(1):88-9. 3. Ayaz UY, Dilli A, Api A. Ultrasonographic diagnosis of congenital hydrometrocolpos in prenatal and newborn period: A case report. Med Ultrason 2011;13(3):234-6. 4. Kurdoglu Z, Kurdoglu M, Kucukaydin Z. Spontaneous rupture of the imperforate hymen in an adolescent girl with hematocoplometra. ISRN Obstet Gynecol 2011;2011:520304 5. Bakos O, Berglund L. Imperforate hymen and ruptured hematosalpinx: A case report with a review of the literature. J Adolesc Health 1999;24(3):226-8. 6. Ho JW, Angstetra D, Loong R, Fleming T. Tuboovarian abscess as primary presentation for ımperforate hymen. Case Rep Obstet Gynecol 2014;2014:142039. 7. Nagai K, Murakami Y, Nagatani K, et al. Life threatening acute renal failure due to imperforate hymen in an infant. Pediatr Int 2012;54(2):280-2 8. Buyukbayrak EE, Ozyapi AG, Karsidag YK, Pirimoglu ZM, Unal O, Turan C. Imperforate hymen: A new benign reason for highly elevated serum CA 19-9 and CA 125 levels. Arch Gynecol Obstet 2008:277(5):475-7. 9. Acar A, Balci O, Karatayli R, Capar M, Colakoglu M. The treatment of 65 women with imperforate hymen by a central incision and application of Foley catheter. BJOG 2007;114(11):1376-9. 10. Basaran M, Usal D, Aydemir C. Hymen sparing surgery for imperforate hymen: Case reports and review of literature. J Pediatr Adolesc Gynecol 2009;22(4):e61-4.