Cecilia Putri Tedyanto, Sianty Dewi, Fransiscus Iman Santoso, Maria Aloysia Praldinya Ere, Kevan Ryvanto Oeylex
Imperforate hymen is a rare congenital anomaly that can cause mild to severe complications, which leads to an increase in morbidity rates. The incidence is 1:1000, and there was often a delay in diagnosis since the symptoms were not specific until it caused several complications in other organ systems. We reported a case of obstructive uropathy and constipation in an 11-year-old girl who presented with huge hematocolpos due to imperforate hymen. The main symptom was severe lower abdominal pain with a visual analogue scale of 8. This case shows the significance of a physical examination in diagnosing, increasing efficiency in terms of time and cost, and supporting an earlier diagnosis. A corrective hymenectomy, blood drainage, and hymenoplasty were performed as the definitive management. The patient was able to urinate and defecate within seven hours after surgery. The patient also had her period three weeks after surgery. © 2024 Tedyanto et al.
Faculty of Medicine, Universitas Katolik Widya Mandala Surabaya, Surabaya, Indonesia; Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Katolik Widya Mandala Surabaya, Surabaya, Indonesia