{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T15:06:45Z","timestamp":1776784005764,"version":"3.51.2"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,10,2]],"date-time":"2024-10-02T00:00:00Z","timestamp":1727827200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction:<\/jats:title>\n Hymeneal imperforation is a rare genital malformation often discovered during abdominopelvic emergencies. Hematocolpos typically presents with pelvic pain, a palpable mass, and primary amenorrhoea. The diagnosis is confirmed by clinical evaluation and imaging studies such as ultrasound.<\/jats:p>\n <\/jats:sec>\n \n Case presentation:<\/jats:title>\n A 13-year-old girl presented a four-week history of abdominal distension and pain, which worsened over time, along with constipation, but without vomiting or fever. Examination revealed stable vital signs and abdominal guarding. A gynecological exam showed an imperforate hymen. Ultrasound identified a hypoechoic fluid collection in the retrovesical area. Hematocolpos was diagnosed and surgical intervention involved opening the hymen and releasing 800 cc of blood. The patient remained stable after the operation and was discharged painless after two days.<\/jats:p>\n <\/jats:sec>\n \n Discussion:<\/jats:title>\n Imperforate hymen, resulting from incomplete resorption of the hymeneal membrane during embryonic development, is a common cause of hematocolpos. Symptoms often manifest in menarche, with cyclical pelvic pain and primary amenorrhoea. The diagnosis is based on physical examination and imaging, while early intervention prevents complications such as endometriosis and infertility. Surgical treatment varies from hymenotomy to more complex reconstructive procedures based on the underlying cause.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Although rare, imperforate hymen is the most prevalent congenital anomaly of the vagina, often remaining asymptomatic until menarche. Accurate diagnosis and timely surgical intervention are essential to avoid severe complications. This case highlights the importance of comprehensive clinical evaluation and appropriate imaging in the management of hematocolpos.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110414","type":"journal-article","created":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T00:46:55Z","timestamp":1728002815000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Abdominal distension resulting from hematocolpos in children: A case report"],"prefix":"10.1097","volume":"124","author":[{"given":"Aicha","family":"Chebil","sequence":"first","affiliation":[{"name":"Gynecology Department of Tahar Sfar University Hospital, Mahdia, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haifa","family":"Bouchahda","sequence":"additional","affiliation":[{"name":"Gynecology Department of Tahar Sfar University Hospital, Mahdia, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabrine","family":"Nouiji","sequence":"additional","affiliation":[{"name":"Gynecology Department of Tahar Sfar University Hospital, Mahdia, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hela","family":"Dahmeni","sequence":"additional","affiliation":[{"name":"Gynecology Department of Tahar Sfar University Hospital, Mahdia, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Ali","family":"Chaouch","sequence":"additional","affiliation":[{"name":"Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khouloud","family":"Marzouk","sequence":"additional","affiliation":[{"name":"Gynecology Department of Tahar Sfar University Hospital, Mahdia, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"12","key":"R1-95-20260421","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.1007\/s13312-015-0772-1","article-title":"Hyperinsulinemic hypoglycemia in infancy: current concepts in diagnosis and management","volume":"52","author":"Vora,","year":"2015","journal-title":"Indian Pediatr."},{"issue":"4","key":"R2-95-20260421","doi-asserted-by":"crossref","first-page":"193","DOI":"10.4103\/jcn.JCN_37_19","article-title":"Physiological and phased approach to newborns at risk of hyperinsulinemic hypoglycemia: a neonatal perspective","volume":"8","author":"Chandran,","year":"2019","journal-title":"J Clin Neonatol."},{"issue":"5","key":"R3-95-20260421","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int J Surg Lond Engl."},{"key":"R5-95-20260421","first-page":"11.014","article-title":"Case report of the successful use of Mirena levonorgestrel intrauterine system in a patient with didelphys uterus and obstructed hemivagina","author":"King,","year":"2018","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"R6-95-20260421","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.mefs.2012.12.004","article-title":"Obstructed hemivagina and ipsilateral renal anomaly syndrome with uterus didelphys (OHVIRA)","volume":"18","author":"Mohamed,","year":"2013","journal-title":"Middle East Fertil. Soc. J."},{"issue":"2","key":"R8-95-20260421","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1016\/j.jemermed.2019.03.014","article-title":"Imperforate hymen causing hematocolpos and urinary retention","volume":"57","author":"Abraham,","year":"2019","journal-title":"J. Emerg. 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