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dc.contributor.authorHo, Jeh Wen
dc.contributor.authorAngstetra, D
dc.contributor.authorLoong, R
dc.contributor.authorFleming, T
dc.date.accessioned2015-02-26
dc.date.accessioned2015-06-16T00:38:36Z
dc.date.accessioned2017-03-02T00:01:54Z
dc.date.available2015-06-16T00:38:36Z
dc.date.available2017-03-02T00:01:54Z
dc.date.issued2014
dc.identifier.issn2090-6684
dc.identifier.doi10.1155/2014/142039
dc.identifier.urihttp://hdl.handle.net/10072/69037
dc.description.abstractObjective. Imperforate hymen represents the extreme in the spectrum of hymenal embryological variations. The archetypal presentation in the adolescent patient is that of cyclical abdominopelvic pain in the presence of amenorrhoea. We reported a rare event of imperforate hymen presenting as a cause of tuboovarian abscess (TOA). Case Study. A 14-year-old girl presented to the emergency department complaining of severe left iliac fossa pain. It was her first episode of heavy bleeding per vagina, and she had a history of cyclical pelvic pain. She was clinically unwell, and an external genital examination demonstrated a partially perforated hymen. A transabdominal ultrasound showed grossly dilated serpiginous fallopian tubes. The upper part of the vagina was filled with homogeneous echogenic substance. Magnetic resonance imaging (MRI) demonstrated complex right adnexa mass with bilateral pyo-haemato-salpinges, haematometra, and haematocolpos. In theatre, the imperforate hymen was opened via cruciate incision and blood was drained from the vagina. At laparoscopy, dense purulent material was evacuated prior to an incision and drainage of the persistent right TOA. Conclusion. Ideally identification of imperforate hymen should occur during neonatal examination to prevent symptomatic presentation. Our case highlights the risks of late recognition resulting in the development of sepsis and TOA.
dc.description.peerreviewedNo
dc.description.publicationstatusYes
dc.format.extent1999693 bytes
dc.format.mimetypeapplication/pdf
dc.languageeng
dc.publisherHindawi Publishing Corporation
dc.publisher.placeUnited States of America
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom1
dc.relation.ispartofpageto3
dc.relation.ispartofissueID 142039
dc.relation.ispartofjournalCase Reports in Obstetrics and Gynecology
dc.relation.ispartofvolume2014
dc.rights.retentionY
dc.subject.fieldofresearchMedical and Health Sciences not elsewhere classified
dc.subject.fieldofresearchcode119999
dc.titleTuboovarian Abscess as Primary Presentation for Imperforate Hymen.
dc.typeJournal article
dc.type.descriptionC2 - Articles (Other)
dc.type.codec2x
gro.facultyGriffith Health Faculty
gro.hasfulltextFull Text
gro.griffith.authorAngstetra, Donald


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