{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,1,23]],"date-time":"2023-01-23T13:29:35Z","timestamp":1674480575393},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"11-12","license":[{"start":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T00:00:00Z","timestamp":1604188800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,30]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>We report a case of acute urinary retention in an adolescent female secondary to hematocolpos. A 13-year-old female presented to the emergency department with acute urinary retention and suprapubic abdominal pain for 24\u00a0hours. She denied menstruation or sexual history. Bedside bladder ultrasound scan revealed 1.2\u00a0L of retained urine and a Foley catheter was placed. A formal renal ultrasound detected a debris-filled structure in the abdomino-pelvic cavity. Follow-up computed tomography of the abdomen and pelvis revealed an 8.5\u00a0cm\u00a0\u00d7\u00a09.3\u00a0cm\u00a0\u00d7\u00a012.1\u00a0cm mass-like structure in the pelvis. No formal pelvic exam was completed and the patient was taken to the operating room for exploratory laparotomy due to concern for large pelvic mass versus tubo-ovarian abscess. However, upon entering the abdominal cavity, no mass was found. At that point, an external genital exam was performed, revealing an imperforate hymen. Hymenotomy resulted in the evacuation of 2.5\u00a0L of clotted blood from the vagina and uterus. Hematocolpos resulting in acute urinary retention is exceedingly rare; however, it is an important differential diagnosis that can be ruled in or out by physical exam findings. Although it may be uncomfortable for adolescent patients and physicians, external genital exams should be conducted in young females with acute urinary retention and amenorrhea to evaluate for imperforate hymen. This can ensure appropriate treatment and avoidance of unnecessary invasive procedures.<\/jats:p>","DOI":"10.1093\/milmed\/usaa166","type":"journal-article","created":{"date-parts":[[2020,7,30]],"date-time":"2020-07-30T15:24:28Z","timestamp":1596122668000},"page":"2171-2172","source":"Crossref","is-referenced-by-count":1,"title":["A Rare Pelvic \u201cMass-Querader\u201d: Acute Urinary Retention Secondary to Hematocolpos in a Preadolescent Patient"],"prefix":"10.1093","volume":"185","author":[{"given":"Laurie","family":"Bezjian Wallace","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Mike O\u2019Callaghan Military Medical Center, Nellis Air Force Base, 4700 N Las Vegas Blvd, Las Vegas, NV 89191"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Wallace","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University Nevada Las Vegas, 901 Rancho Lane St 135, Las Vegas, NV 89106"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel","family":"Herness","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Mike O\u2019Callaghan Military Medical Center, Nellis Air Force Base, 4700 N Las Vegas Blvd, Las Vegas, NV 89191"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,12,30]]},"reference":[{"issue":"2","key":"2020123002500692100_ref1","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 Med"},{"issue":"2","key":"2020123002500692100_ref2","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/j.tjog.2011.01.005","article-title":"Imperforate hymen causing hematocolpos and acute urinary retention in an adolescent girl","volume":"50","author":"Ercan","year":"2011","journal-title":"Taiwan J Obstet Gynecol"},{"issue":"1","key":"2020123002500692100_ref3","first-page":"23","article-title":"Acute urinary retention in children","volume":"2","author":"Asgari","year":"2005","journal-title":"J Urol"},{"key":"2020123002500692100_ref4","doi-asserted-by":"crossref","first-page":"bcr2013010361","DOI":"10.1136\/bcr-2013-010361","article-title":"Acute urinary retention in an adolescent girl and important learning points","volume":"2013","author":"Christodoulidou","year":"2013","journal-title":"BMJ Case Rep"},{"issue":"2","key":"2020123002500692100_ref5","first-page":"105","article-title":"Acute urinary retention associated with an imperforate hymen and hematocolpos","volume":"15","author":"Aker","year":"2009","journal-title":"Gyn Obstet and Repro Med"},{"issue":"5","key":"2020123002500692100_ref6","doi-asserted-by":"crossref","first-page":"e97","DOI":"10.1016\/j.jemermed.2017.06.043","article-title":"Hematometrocolpos disguised as abdominal pain","volume":"53","author":"Saleh","year":"2017","journal-title":"J Emerg Med"},{"key":"2020123002500692100_ref7","first-page":"731019","article-title":"A rare presentation of imperforate hymen: a case report","volume":"2013","author":"Salhan","year":"2013","journal-title":"Case Rep Urol"},{"key":"2020123002500692100_ref8","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2016-215434","article-title":"Neonatal imperforate hymen with hydrocolpos","author":"Ramphul","year":"2016","journal-title":"BMJ Case Rep"},{"issue":"3","key":"2020123002500692100_ref9","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1097\/00063110-200309000-00019","article-title":"A case of retention of urine and haematocolpometra","volume":"10","author":"Chircop","year":"2003","journal-title":"Eur J Emerg Med"},{"issue":"12","key":"2020123002500692100_ref10","doi-asserted-by":"crossref","first-page":"4484","DOI":"10.18203\/2320-1770.ijrcog20164368","article-title":"Imperforate hymen presenting as acute urinary retention in an adolescent girl","volume":"5","author":"Prabha","year":"2016","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"issue":"11","key":"2020123002500692100_ref11","first-page":"378","article-title":"Imperforate hymen: cause of lower abdominal pain in teenage girls","volume":"50","author":"Mou","year":"2009","journal-title":"Singapore Med J"},{"issue":"3","key":"2020123002500692100_ref12","doi-asserted-by":"crossref","first-page":"218","DOI":"10.5811\/cpcem.2017.3.33369","article-title":"Hematometrocolpos in a pubescent girl with abdominal pain","volume":"1","author":"Kotter","year":"2017","journal-title":"Clin Pract Cases Emerg Med"}],"container-title":["Military Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/milmed\/article-pdf\/185\/11-12\/2171\/35269510\/usaa166.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/milmed\/article-pdf\/185\/11-12\/2171\/35269510\/usaa166.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,30]],"date-time":"2020-12-30T07:51:12Z","timestamp":1609314672000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/milmed\/article\/185\/11-12\/2171\/5867693"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,1]]},"references-count":12,"journal-issue":{"issue":"11-12","published-online":{"date-parts":[[2020,12,30]]},"published-print":{"date-parts":[[2020,12,30]]}},"URL":"https:\/\/doi.org\/10.1093\/milmed\/usaa166","relation":{},"ISSN":["0026-4075","1930-613X"],"issn-type":[{"value":"0026-4075","type":"print"},{"value":"1930-613X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,11,1]]},"published":{"date-parts":[[2020,11,1]]}}}