Karın Ağrısı Şikayeti ile Gelen Ergen Kızlarda İmperfore Himene İkincil Hematokolpos.

Yıl 2017, Cilt: 3 Sayı: 1, 407 - 417, 15.04.2017

Safiye Kafadar , Hüseyin Kafadar

https://doi.org/10.30569/adiyamansaglik.356092

Cited By: 1

Öz

GİRİŞ: İmperfore himen en sık görülen
Müllerian kanal anomalisidir. Sıklıkla karın ağrısı ve/veya karında kitle
şikayetleriyle hastaneye başvururlar. Çoğunlukla adolesan dönemde klinik ve
radyolojik yöntemlerle bu hastalara tanı konulmaktadır. 

YÖNTEM:
Radyoloji kliniği PACS sistemi üzerinden 
01.01.2013 ile 01.10.2017 tarihleri arasında karın ağrısı ve karında
kitle şikayetleriyle başvuran hastaların US görüntü ve raporları, abdominal BT
ve MR rapor ve görüntüleri tarandı. 

BULGULAR: Çalışma
kriterlerine uygun olan dokuz hasta tespit edildi. Hastaların US, abdominal BT
ve MR görüntüleri incelendi. Tüm hastalara non invazif ve radyosyon etkisi
olmayan US görüntüleme yöntemi kullanıldığı, dört hastaya BT, dört hastaya MR,
üç hastaya ise US, BT ve MR tetkiki yapıldığı belirlendi.

 

SONUÇ:
Olgularımızda hematokolpos tespit edilmiş olup, hastalığın başlangıcından
itibaren geçen süre ve hematokolposun yapmış olduğu kitle boyutu ile klinik
yakınma ve bulguların doğru orantılı olduğu değerlendirildi.

Anahtar Kelimeler

İmperfore hymen, hematokolpos, radiodiagnostic

Hematocolpos Secondary to Imperforate Hymen in Adolescent Girls with Complaint of Abdominal Pain.

Öz

INTRODUCTION: Imperforate hymen is the most commonly seen Müllerian duct anomaly. Patients
often apply to the hospital with complaints of abdominal pain and /or mass in
the abdomen. These patients are mostly diagnosed by clinical and radiological
methods in adolescence period.

 

METHOD:,
Ultrasound (US) images, abdominal Computed Tomography (CT) and Magnetic
Resonance Images (MRI) and their corresponding reports belonging to the patients
visited the hospital with abdominal pain and mass complain between 01.01.2013
and 01.10.2017 were scanned on Radiology Clinic PACS system.

 

RESULTS:
Nine patients who met the study criteria were identified. US, abdominal CT and
MR images of the patients were examined. It was determined that all of these patients
were diagnosed with non-invasive method of US imaging while four patients with
CT, four patients with MRI and three patients with US, CT and MRI examinations.

 

CONCLUSION: In
our cases, hematocolpos was detected and it was evaluated that the time since
the onset of the disease and the mass size of the hematocolpos were directly
proportional to clinical complaints and findings.

Anahtar Kelimeler

Imperfore hymen, hematocolpos, abdominal pain, radiodiagnostic

Kaynakça

• 1. Govani DR, Campbell A, Cho C and Patel RV. Hematometrocolpos Secondary to Imperforate Hymen Presenting with Urinary Retention in an Adolescent Girl. Austin J Clin Case. 2015;2(1):1-2.
• 2. Tekin YB. Güven ESG, Şahin FK. İmperfore hymene sekonder oluşan pelvik kitlenin hymen koruyucu cerrahi ile tedavisi Ege Journal of Medicine 2016;55(1):29-31.
• 3. Doğan ÖF, Şentürk M, Aslan S, Öge T, Aydın Y. Abdominal Kitle ile Başvuran Imperfore Himen Olgusu, Osmangazi Tıp Dergisi 2014;36(3), 1-4.
• 4. 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.
• 5. Erdemoglu E, Kolusarı A, Şahin GH, Kamacı M. Familyal imperfore himen. J Turkish German Gynecol Assoc 2007;8(1):88-9.
• 6. Parazzini, F. Cecchetti, G. The frequency of imperforate himen in Northern Italy. Int J Epidemiol. 1990;19:763-7.
• 7. Posner, J.C. Spandorfer, P.R. Early detection of imperforate himen prevents morbidity from delays in diagnosis. Pediatrics. 2005;115:1008-12.
• 8. 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.
• 9. Hall, D.J. An unusual case of urinary retention due to imperforate himen. J Accid Emerg Med. 1999;16:232-6.
• 10. Letts, M. Haasbeek, J. Hematocolpos as a cause of back pain in premenarchal adolescents. J Pediatr Orthop. 1990;10:731-8.
• 11. Usal C, Obuz F, Yılmaz E, Çakmakçı H, Uslu T. Hematometra ve hematokolpos ile ortaya ç›kan bir mülleriyen kanal anomalisi olgusu. Tanısal ve Girişlimsel Radyoloji 2001:7;560-563.
• 12. 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.
• 13. Chircop, R. A case of retention of urine and haematocolpometra. Eur J Emerg Med. 2003;10: 244-5 . 14. McCann, J. Wells, R. Simon, M. et al. Genital findings in prepubertal girls selected for nonabuse: a descriptive study. Pediatrics. 1990:86: 428-33.
• 15. Gülaçtı U, Polat H , Lök U , Aydın İ. The evaluation of patients with renal colic due to urinary tract stones in emergency department. Gaziantep Medical Journal 2016;22(1):22-26.
• 16. Pellerito JS, McCarthy SM, Doyle MB, Glickman MG, DeCherney AH. Diagnosis of uterine anomalies: relative accuracy of MR imaging, endovaginal sonography and hysterosalpingography. Radiology 1992; 183:795-800.
• 17. Carrington BM, Hricak H, Nuruddin RN, Secaf E, Laros RK. Müllerian duct anomalies: MR imaging evaluation. Radiology 1990; 176:715-720.
• 18. Lang IM, Babyn P, Oliver GD. MR imaging of pediatric uterovaginal anomalies. Pediatr Radiol 1999; 29:163-170.
• 19. Oto A, Karçaalt›ncaba A, Ahmetoğlu A, Besim A. Unilateral hematokolposta BT ve MRG. Turk J Diagn Intervent Radiol 1999; 5:247-249.
• 20. Burgis J. Obstructive Mullerian anomalies: Case report, diagnosis, and management. Am J Obstet Gynecol 2001; 185:338-44.