Microperforated hymen with pregnancy presenting at term: an accidental diagnosis

Authors

  • Ratna Bulusu Department of Obstetrics and Gynaecology, East Point College of Medical Science and Research Centre, Bangalore, Karnataka, India
  • Swati A. Reddy Department of Obstetrics and Gynaecology, East Point College of Medical Science and Research Centre, Bangalore, Karnataka, India
  • Vijaya Lakshmi Department of Obstetrics and Gynaecology, East Point College of Medical Science and Research Centre, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20233662

Keywords:

MH, Caesarean section, Hymenectomy

Abstract

Anatomic variations of the patent hymen exist, the most common configuration having a central orifice. Difficulty in inserting a tampon or the inability to achieve vaginal intercourse in an adolescent is the typical presenting symptom of incomplete hymenal obstruction. Here, a case is reported wherein the patient presented with normal pregnancy at term with an apparently intact hymen. Later in labour, a microperforate hymen (MH) was noted. An emergency lower segment caesarean section along with hymenectomy was performed.

References

Berenson AB. The prepubertal genital exam: what is normal and abnormal. Curr Opin Obstet Gynecol. 1994;6(6):526-30.

Watrowski R, Jäger C, Gerber M, Klein C. Hymenal anomalies in twins: review of literature and case report. Eur J Pediatr. 2014;173(11):1407-12.

Heger AH, Ticson L, Guerra L, Lister J, Zaragoza T, McConnell G 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.

Tardieu SC, Appelbaum H. Microperforate Hymen and Pyocolpos: A Case Report and Review of the Literature: J Pediatr Adolesc Gynecol. 2018;31(2):140-42.

Güven D, Bakay K, Kuruoglu S: Microperforate (pinhole) hymen and infertility: A rare case report. Open J Obstetr Gynecol. 2012;2:287-8.

Onan MA, Turp AB, Taskiran C, Ozogul C, Himmetoglu O. Spontaneous closure of the hymen during pregnancy. AJOG. 2005;193(3pt1):889-91.

Brikene E, Heroid A, Armond D. Microperforated Hymen Presenting Spontaneous Pregnancy with Cesarean Delivery and Hymenotomy Surgery: A Case Report: Open Access Maced J Med Sci. 2018;6(3):528-30.

Downloads

Published

2023-11-28

Issue

Section

Case Reports