"Hematometra"

Acute abdominal pain caused by hematometra in an adolescent female: a case report Hematometra is a pathologic collection of blood in the uterus. It is a rare condition that is most commonly associated with congenital anomalies or prior surgical procedures causing an obstruction of the genitourinary outflow tract. We present an unusual case of hematometra in a healthy and active adolescent female with no prior risk factors. This is a rare and important case report due to the complexity of diagnosis when a young female presents with an acute abdomen. In addition, for a patient who presents with no prior risk factors for hematometra, such as in our patient, the diagnosis and workup may become overly complicated, adding strain to patient care and health care cost. To the best of our knowledge and based

hemicervix. Her presentation is complicated by a tubo-ovarian abscess. A uterus didelphys is classically defined as two hemiuteri with duplicated cervices with or without a longitudinal vaginal septum. Uterus didelphys may have an obstruction and/or communication between the two uterine horns, in which case patients may present with complications such as cyclic pelvic pain from hematometra or genital tract

as a dimple. Although external examination may be similar to müllerian agenesis, imaging studies are indicated to delineate internal anatomic structures. Postpubertal pelvic imaging usually will reveal hematocolpos, or hematometra, or both. In addition to presenting with primary amenorrhea, all these conditions may occur with symptoms of cyclic or persistent abdominal or pelvic pain and a pelvic mass due

in four women due to persistent bleeding (n = 2), hematometra due to a cervical stenosis (n = 1) and recurrent dysplasia (n = 1). In this long-term follow-up of RRT the recurrence rate is comparable to larger individual studies of minimally invasive or vaginal radical trachelectomy with similar risk profile and follow up. The high pregnancy rate and low rate of premature delivery before 32 weeks GA may

underwent hysterectomy and/or salpingectomy as treatment for their pain, none showed signs of hematosalpinx or hematometra at the time of surgery or on final pathology. We did not find evidence that route of permanent contraception affects the risk of post-ablation tubal sterilization syndrome development. Younger patients may be at higher risk of this syndrome.

unicornuate uterus and total absence of the vagina. Laparoscopic time and perineal time. During laparoscopy, the entire abdominopelvic cavity was assessed to evaluate the uterine morphology and size to exclude anomalies such as hematometra. The adnexa and adhesions were evaluated and any endometrial flare-ups were treated appropriately. A laparoscopic ultrasound probe was used to evaluate the size

of dilapan-S together with mifepristone and misoprostol for induction of miscarriage in the second trimester in women with antenatal fetal death reduced the time from the start of the procedure to complete miscarriage by 1.98-fold. However, the use of dilapan-S did not significantly reduce the odds of such post-procedural complications as hematometra and retention of the products of conception

combined with a fibrous band. The minority of patients showed no (3.5%) or unilateral (1.5%) uterine rudiments. A total of 385 uterine rudiments were detected which showed four types of signal patterns: one-layer differentiation (325, 84.4%), two-layer differentiation (27, 7%), three-layer differentiation without subsequent alteration (23, 6.0%), and three-layer differentiation with hematometra display bilateral uterine rudiments combined with a fibrous band and normally located ovaries. The uterine rudiments are generally small with only one-layer differentiation, a subset of which might be large and exhibited other atypical presentations, including two- or three-layer differentiation or even hematometra. Abnormally located ovaries are not rare. • Morphologically, MRKH patients typically

woman complained of lower abdominal pain one year after a full-term unicornate uterus pregnancy and a rudimentary horn pregnancy successively. Uterine dysplasia (right rudimentary uterine horn and left unicornate uterus), hematometra and right fallopian tube effusion were diagnosed. We performed laparoscopic hysterectomy (rudimentary horn), right salpingectomy, pelvic adhesion release and hysteroscopy

Unicornuate uterus with noncommunicating functional horn: diagnostic workup and laparoscopic horn amputation. To describe the diagnosis and the management of hematometra in a patient with unicornuate uterus with noncommunicating functional horn (hemi uterus and rudimentary uterine hemicavity). Video case report. Minimally invasive gynaecology unit. Sixteen-year-old nulliparous woman admitted

(U2aC4V4). Video article introducing a new surgical technique. University hospital. A 15-year-old patient with congenital cervical atresia, absence of vagina, and incomplete uterine septum had primary amenorrhea and cyclic lower abdominal pain. The magnetic resonance imaging did not show hematometra and the endometrium was 6 mm when she had lower abdominal pain. A neovagina (depth, 7 cm; width, 2.5 cm

consistent with hematometra. Her kidneys were bilaterally present and normal by ultrasonography. Because of the patient's worsening pain and the presence of hematometra, we proceeded with diagnostic laparoscopy and removal of the rudimentary uterine horn. The entire procedure was performed laparoscopically, with an estimated total blood loss of 20 mL. Included are tips for laparoscopic resection

Laparoscopic metroplasty: reconstructive surgery for unicornuate uterus with noncommunicating, functional uterine horn. To demonstrate laparoscopic surgery for a patient with unicornuate uterus and a large hematometra in the noncommunicating uterine horn. Narrated video featuring the diagnostic tests and surgical management. Academic tertiary hospital. A 13-year-old woman, gravida 0 with menarche at 9 years old, had severe dysmenorrhea during her recent menstrual cycles. The results of transrectal three-dimensional sonography, hysteroscopy, and magnetic resonance imaging (MRI) were consistent for a uterine didelphys composed of a right unicornuate uterus and a left hemiuterus with hematometra and no connection to the cervix. Left adnexal endometrioma and ipsilateral renal agenesis were

on the cause - eg imperforate hymen can be incised.ComplicationsIt is a rare cause of urinary tract obstruction and urinary retention.[7]Join our weekly wellness digestfrom the best health experts in the businessEnter your email Join nowBy clicking ‘Join now’ you agree to our Terms and conditions and Privacy policy.FURTHER READING AND REFERENCESDadhwal V, Mittal S, Kumar S, et al; Hematometra in postmenarchal adolescent girls: a report of two cases. Gynecol Obstet Invest. 2000Gomez Arzapalo E, Perez Mendizabal A, Herrera Avalos I, et al; [Hematometra & Listeria monocytogenes] Ginecol Obstet Mex. 2001 MayMcCausland AM, McCausland VM; Long-term complications of endometrial ablation: cause, diagnosis, treatment, and prevention. J Minim Invasive Gynecol. 2007 Jul-Aug14(4):399-406.Grimes DA, Creinin MD

in the uterus (ie, hematometra). Physical signs are similar to those of hydrocolpos and include lower abdominal mass and a bulging membrane at introitus (bluish in this case; see the image below). Treatment consists of a cruciate incision in the membrane with excision of the excess mucosal tags; in most instances, the procedure is curative, and no further procedure is necessary.Hematometrocolpos resulting

to that observed in Klinefelter syndrome. [10] * * Another case reported an invasive squamous cell carcinoma of the vagina, serving as a reminder that malignant changes can occur in residual müllerian tissue. [11] * * Obstructed genital tract: Cryptomenorrhea, hematometra, and lower abdominal pain associated with endometriosis may occur in individuals with cervical

byinspection. Palpation (through the vagina and/or the rectum incases of vaginal aplasia) cannot provide information for the uterinecavity and uterine wall and it could provide only some useful, buthighly subjective, information for the uterine body (e.g. completebicorporeal uterus). Palpation could provide information in cases ofdilatation secondary to obstruction of menstrual flow (hematocolpos/hematometra

Unicornuate uterus with a rudimentary non-communicating cavitary horn in association with VACTERL association: case report. The unicornuate uterus is caused by abnormal or failed development of one Müllerian duct. Unicornuate uteri with functioning non-communicating rudimentary horns are susceptible to many gynaecologic and obstetric complications such as hematometra, endometriosis and ectopic