Microperforate hymen presenting as tubo-ovarian abscess in adulthood

Tan, GI and Balakrishnan SS, and Parampalam SD, (2018) Microperforate hymen presenting as tubo-ovarian abscess in adulthood. Journal of Surgical Academia, 8 (2). pp. 27-30. ISSN 2231-7481


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Microperforate hymen is a rare vaginal anomaly that is usually reported in childhood due to recurrent urogenital infections. Unlike imperforate hymen where the presenting complaints are classical due to complete vaginal obstruction, the less profound and varied presentation of microperforate hymen may go unnoticed. We report a case of a 39-year-old, with a background history of amenorrhea, who presented with acute abdomen suggestive of tubo-ovarian abscess, and was finally diagnosed to have microperforate hymen. She underwent hymenectomy to correct the anomaly. To our knowledge, this is the oldest age of presentation of a congenital form of microperforate hymen. A high index of suspicion and early detection of microperforate hymen and properly timed intervention is essential to prevent acute symptoms and long term detrimental sequalae to women’s reproductive and psychosexual health.

Item Type:Article
Keywords:Congenital anomalies; Imperforate hymen; Microperforate hymen; Surgical correction; Tubo-ovarian abscess
Journal:Journal of Surgical Academia
ID Code:12565
Deposited By: ms aida -
Deposited On:14 Feb 2019 00:40
Last Modified:14 Feb 2019 21:44

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