Acute urinary retention as the presentation of imperforate hymen.
Acute urinary retention is unusual in children and is usually a candidate for visiting the emergency department upon initial discovery. We report a 12-year-old girl who complained of acute urinary retention. Ultrasonography demonstrated a large echogenic mass over the vagina and mild dilation of the uterus. Imperforate hymen associated with hematocolpos and hematometrium was diagnosed. Cruciate hymenotomy was performed. The symptoms resolved after treatment. Adolescent girls who complain of urinary symptoms with no previous menstruation should have their external genitalia examined in order to rule out the possibility of imperforate hymen as the cause of acute urinary retention.
Chang
Jei-Wen
JW
Department of Pediatrics, Taipei Veterans General Hospital, and Institute of Clinical Medicine, National Yang Ming University School of Medicine, Taipei, Taiwan, R O C.
Yang
Ling-Yu
LY
Wang
Hsin-Hui
HH
Wang
Jen-Kai
JK
Tiu
Chui-Mei
CM
D000208:Acute Disease; D002648:Child; D005260:Female; D006399:Hematocolpos / Q000150:complications*; D006409:Hematometra / Q000150:complications*; D006801:Humans; D006924:Hymen / Q000002:abnormalities*; D016055:Urinary Retention / Q000209:etiology*