Work

Imaging diagnosis of acute urinary retention caused by a congenital imperforate hymen: A case report

Year: 2024

Type: article

Abstract: Congenital hymen atresia is a rare congenital malformation of the female genital tract. Due to its physiologic and anatomic characteristics, congenital hymen atresia is often challenging to detect and is typically associated with complications that necessitate medical evaluation. We present the case of a 12-year-old patient who developed acute urinary retention secondary to a congenital imperforate hymen. Both ultrasonography and magnetic resonance imaging (MRI) revealed the presence of congenital imperforate hymen accompanied by blood accumulation in the uterus and vagina, which contributed to the urinary retention. The patient underwent hymenotomy under general anesthesia. By the second postoperative day, the bladder had emptied successfully, and at an 8-month follow-up, menstruation and urination were normal. The ultrasonographic and MRI findings of congenital imperforate hymen exhibit specific diagnostic characteristics. While ultrasonography is the preferred initial diagnostic modality, MRI can enhance the detection rate and provide further clarity.

Source: Journal of Radiation Research and Applied Sciences

DOI: 10.1016/j.jrras.2024.101183

Authors: Yanhua Ding, Meijia Qin, Hang Yan

Institutions: Hangzhou Women’s Hospital, Mudanjiang Medical University, Zhejiang Chinese Medical University, The Third Affiliated Hospital of Zhejiang Chinese Medical University

Language: English

Topic: Gynecological conditions and treatments

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,400