title: Hysterectomy for hematometra in a 15-year-old mentally handicapped girl with congenital cervicovaginal agenesis and concomitant ovarian adenoma.
abstract: We report a case of hematometra and bilateral hematosalphinx in a 15-year-old mentally handicapped adolescent girl, complicated by vaginal agenesis over cervical atresia in the presence of an ovarian adenoma. The case was managed by abdominal hysterectomy and bilateral salphingectomy of the hematosalphinx, which had formed a tubo-ovarian mass. One ovary was preserved. This case also considers the management of the mentally handicapped patient unable to comprehend pain arising from cryptomenorrhea.
authors.affiliation: Department of Obstetrics and Gynaecology, TU Teaching Hospital, Kathmandu, Nepal. prof.drranaa@gmail.com
authors.forename: Ashma
authors.initials: A
authors.lastname: Rana
authors.forename: Geeta
authors.initials: G
authors.lastname: Gurung
authors.forename: Syeda H
authors.initials: SH
authors.lastname: Begum
authors.forename: Shilu
authors.initials: S
authors.lastname: Adhikari
authors.forename: Bhanu B
authors.initials: BB
authors.lastname: Neupane
mesh_terms: D000236:Adenoma / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D000293:Adolescent; D002584:Cervix Uteri / Q000002:abnormalities*; D003937:Diagnosis, Differential; D005260:Female; D006409:Hematometra / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007044:Hysterectomy; D008607:Intellectual Disability; D010051:Ovarian Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D014621:Vagina / Q000002:abnormalities*