Imperforate hymen complicated by obstructive acute renal failure

In: Nigerian Journal of Paediatrics · 2012 · vol. 40(1) · doi:10.4314/njp.v40i1.15 · W2085846219
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This case report describes a 14-year-old girl with an imperforate hymen who presented with acute urinary retention, hydronephrosis, and subsequent obstructive acute renal failure. The authors note that this condition is a rare malformation occurring in approximately one in 1000 female births and is typically diagnosed during puberty when hematocolpos develops. They emphasize the critical importance of early diagnosis and surgical evacuation to prevent severe urological complications and highlight that this was the first such case encountered in their medical unit. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

Imperforate hymen is a rare malformation (1/ 1000 female births). It is diagnosed most often during puberty. Early diagnosis of hematocolpos and evacuation is necessary to avoid any consequences. We report a rare case of an imperforate hymen complicated with acute urinary retention,  hydronephrosis and renal failure in a 14-year-old girl to emphasize thepossible misdiagnosis and its possible consequences. This is the firstcase we encounter in our unit.
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Main Article Content Imperforate hymen complicated by obstructive acute renal failure Abstract possible misdiagnosis and its possible consequences. This is the first case we encounter in our unit. Journal / Nigerian Journal of Paediatrics / Vol. 40 No. 1 (2013) / Articles Imperforate hymen is a rare malformation (1/ 1000 female births). It is diagnosed most often during puberty. Early diagnosis of hematocolpos and evacuation is necessary to avoid any consequences. We report a rare case of an imperforate hymen complicated with acute urinary retention, hydronephrosis and renal failure in a 14-year-old girl to emphasize the possible misdiagnosis and its possible consequences. This is the first case we encounter in our unit. possible misdiagnosis and its possible consequences. This is the first case we encounter in our unit. eISSN: 0302-4660

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