Spontaneous rupture of the imperforate hymen in two newborns
Spontaneous rupture of the imperforate hymen in two newborns
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DOI：
10.1016/j.arcped.2015.11.022
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发表时间：
2016-03-01
影响因子：
1.8
通讯作者：
Sfar, M. T.
中科院分区：
文献类型：
--
作者：
Ben Hamouda, H.;Ghanmi, S.;Sfar, M. T.
处女膜是女性生殖道最常见的先天性畸形，通常在青春期前无症状。这种畸形的诊断很少在出生时作出，手术治疗往往是处女膜切开术。然而，处女膜自发破裂是可能的，但非常罕见。我们报告两例在出生时经阴道粘膜发现的处女膜不全。超声检查不能客观诊断阴道积水或子宫阴道积水。分别于出生后第4天和第7天观察到处女膜自发破裂，1月龄时效果满意。在出生时必须系统地进行处女膜的筛查，以便在自发性破裂不充分时进行早期处女膜切开术，并预防青春期疾病的严重并发症。(C)2015年Elsevier Masson SAS。All rights reserved.
Imperforate hymen is the most frequent congenital malformation of the female genital tract and usually remains asymptomatic until puberty. The diagnosis of this malformation is rarely made at birth and surgical treatment is often by hymenotomy. However, spontaneous rupture of the imperforate hymen is possible but is very rare. We report two cases of imperforate hymen revealed by mucocolpos at birth. Ultrasound examination does not objectify hydrocolpos or hydrometrocolpos. Spontaneous rupture of the imperforate hymen was observed respectively in the 4th and 7th day of life with a satisfactory result at 1 month of age. Screening for the imperforate hymen must be systematic at birth to offer early hymenotomy if the spontaneous rupture is not adequate and prevent serious complications of the disease at puberty. (C) 2015 Elsevier Masson SAS. All rights reserved.