{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:04:15Z","timestamp":1762506255874},"reference-count":8,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p>A 13-year-old patient with a complaint of worsening lower abdominal pain during the past 4 months was admitted to the emergency department. An abdominopelvic ultrasound scan revealed a distended uterocervical cavity suggestive of hematometrocolpos. Imperforate hymen was observed on examination of the external genitalia. MRI scan revealed an air-fluid level representing pyometrocolpos within a distended vagina. Posterior vaginal extraperitoneal leakage as the sign of a fistula between the vagina and the rectovaginal space was detected. Although laparoscopic approach was planned, malodorous pus expelled after the insertion of the Veress needle, it was decided to proceed to laparotomy. Pus with peritoneal microabscess formations was observed at laparotomy. The imperforate hymen and TVS were excised vaginally. A more complex anomaly should be suspected in cases with hematometra and concomitant imperforated hymen without any bulging and thorough evaluation using radiological imaging techniques should be performed before surgical approach.<\/jats:p>","DOI":"10.1155\/2014\/406219","type":"journal-article","created":{"date-parts":[[2014,2,10]],"date-time":"2014-02-10T21:01:45Z","timestamp":1392066105000},"page":"1-4","source":"Crossref","is-referenced-by-count":5,"title":["Concomitant Imperforate Hymen and Transverse Vaginal Septum Complicated with Pyocolpos and Abdominovaginal Fistula"],"prefix":"10.1155","volume":"2014","author":[{"given":"Berna","family":"Dilbaz","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Etlik Zubeyde Hanim Women\u2019s Health Training and Research Hospital, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadiman","family":"Kiykac Altinbas","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Etlik Zubeyde Hanim Women\u2019s Health Training and Research Hospital, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Namik Kemal","family":"Altinbas","sequence":"additional","affiliation":[{"name":"Department of Radiology, Diskapi Children\u2019s Hospital and Hematology Oncology Education and Research Hospital, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ozlem","family":"Sengul","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Etlik Zubeyde Hanim Women\u2019s Health Training and Research Hospital, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serdar","family":"Dilbaz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Etlik Zubeyde Hanim Women\u2019s Health Training and Research Hospital, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1590\/S1516-31802009000200007"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/S1083-3188(01)00136-X"},{"issue":"3","key":"3","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1097\/00003081-198709000-00024","volume":"30","year":"1987","journal-title":"Clinical Obstetrics and Gynecology"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2007.03.067"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2009.10.001"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-011-1608-8"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.4103\/0970-1591.91451"},{"issue":"7","key":"8","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1016\/S1701-2163(16)34245-1","volume":"31","year":"2009","journal-title":"Journal of Obstetrics and Gynaecology Canada"}],"container-title":["Case Reports in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2014\/406219.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2014\/406219.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2014\/406219.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,22]],"date-time":"2017-06-22T07:37:56Z","timestamp":1498117076000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/criog\/2014\/406219\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014]]},"references-count":8,"alternative-id":["406219","406219"],"URL":"https:\/\/doi.org\/10.1155\/2014\/406219","relation":{},"ISSN":["2090-6684","2090-6692"],"issn-type":[{"value":"2090-6684","type":"print"},{"value":"2090-6692","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014]]}}}