Case report endometrial carcinoma presenting as hematometra mimicking a large pelvic cyst mingping wu, md,1,2 chungchieng wu, md,3 fongming chang, md, phd,4 ernest y. Results for hematometra 1 7 of 7 sorted by relevance date click export csv or ris to download the entire page or use the checkboxes to select a subset of records to download export csv export ris 10 per page 50 per page 100 per page 250 per page. I had an ultrasound and there was a 2cm hemorrhagic cystic structure found in my uterus not ovarian cyst. Dec 20, 2016 hematometra is a pathologic collection of blood in the uterus. Amaryl lids to download pdf you need some things, like my website and the name of the file. In older women, the obstruction is usually acquired and occurs at the level of the cervix. Less commonly it can be acquired due to processes that cause obstruction of the cervical canal 1,2. Approximately 1% to 2% of women who undergo operative hysteroscopy. Hematometra formation a rare complication of cesarean. On examination secondary sexual characters were well developed. Rearrange individual pages or entire files in the desired order. Hematometra is a condition of retained blood or clot within the uterus. The cervix is located to the left in the image, and the fundus is located to the right.
We present 4 cases of hematometra after depomedroxyprogesterone acetate dmpa therapy in previously menstruating adolescents. With acrobat reader dc, you can do more than just open and view pdf files. It is often associated with absence of portion or all of the vagina. Pdf hematometra in uterus didelphys with right hemivagina. It is not definitive but can identify cysts associated with endometriosis, uterine tissue growing outside the uterus. It is most commonly caused by congenital abnormalities of the cervix or uterus 1,2. Here, a yearold girl with menstrual flow who presented with. Hematometra and hematocolpos, secondary to cervical. Hematometra medical definition merriamwebster medical. One potential cause of hematometra is hematosalpinx, where bleeding occurs in the fallopian tube. Hematometra definition of hematometra by medical dictionary. Various surgical procedures associated with hematometra are dilatation and curettage, cone biopsy, endometrial ablation, cryocoagulation and electrocautery.
Most often, this complication arises because of the uterine atony postpartum, the cause of which may become a weak labor activity, hyperextension of the uterus large fruit, manual removal of placenta, hemorrhagic shock, scars on the uterus and others. Frequency of symptomatic cornual hematometra and postablation. Hematometra formation a rare complication of cesarean delivery. Hematometra is a medical condition involving collection or retention of blood in the uterus.
I am wondering if this is actually a hematometra and radiologist who read ultrasound report just doesnt know how to identify it as this is not a commonly. Hematometra causas, sintomas, diagnostico e tratamento. Masas pelvicas williams ginecologia, 3e accessmedicina. We present an unusual case of hematometra in a healthy and active adolescent female with no prior risk factors.
Hematometra ginecologia esta patologia e diagnosticada relativamente rara. Endometrial carcinoma presenting as hematometra mimicking. Recurrent hematometra and hematocolpos due to cervical. Whether youre struggling to conceive or are just seeking info, fertilitysmarts breaks down the tough topics to help you understand your fertility. Your file may simply be corruptedmeaning there are metadata issues in the file which occurred during the original document generation, scanning, or some other conversion process has produced an invalid pdf i. The ablation is promoted as being a simple procedure that can be done in one day and then all your problems are cured. Addis count the determination of the number of erythrocytes, leukocytes, epithelial cells, and casts, and the protein content in an aliquot of a 12hour urine specimen. Please click confirm if you are happy to lose these search results.
Hematometra is an infrequent late complication of operative hysteroscopy. My dr only did ablation sunder general it was at the last appointment before the procedure that he went over the risks. Suspected hematometra possible by comparing history with complaints of sudden cessation of blood discharge after intrauterine intervention, a feeling of heaviness and cramping in the a. This is a rare and important case report due to the. This study was undertaken to determine the frequency of symptomatic cornual hematometra and postablation tubal sterilization syndrome after total rollerball endometrial ablation and to describe. Acute abdominal pain caused by hematometra in an adolescent. Clinically, a lower abdominal mass and periodic abdominal pain may develop in these children after puberty. I had the procedure scheduled and had all the preop blood work done and the endometrial biopsy first. A gynecologist is usually involved in diagnosis and treatment of this condition. Endometrial carcinoma presenting as hematometra mimicking a. Diagnostico y tratamiento ginecoobstetricos, 11e decherney ah, nathan l, laufer n, roman as. Primary amenorrhea with transverse vaginal septum and.
Hematometra in uterus didelphys with right hemivagina and. The details of the patients condition were discussed with the patient and her parents, including the complications of outflow obstruction to the right vagina which can lead to hematocolpos, hematometra, hematosalpinx, and later may cause a retrograde bleeding, chronic pelvic pain. Hematometra or hemometra is a medical condition involving collection or retention of blood in the uterus. Hematometra is an accumulation of blood within the uterus. Hematometra article about hematometra by the free dictionary. Yen, md, phd,5 menfong hsieh, md,1 meihwang chao, md2. Trastornos benignos del cuello uterino diagnostico y. Hematometra is a retention of blood in the uterine cavity caused by obstruction to menstrual flow at the level of the uterus, cervix, or vagina. Its packed with all the tools you need to convert, edit. Apr, 2020 patients may notice a hematometra in the form of abnormal uterine bleeding or spotting, as well as a feeling of fullness and tenderness in the lower abdomen. Hematometra following an abortion or cesarean delivery is rare. Highdose progestogenic agents in this age group have been implicated in the accumulation of a hematometra without other explanation. Khachikyan i, stratton p khachikyan, izabella, and pamela stratton trastornos benignos del cuello uterino. Primary amenorrhea with transverse vaginal septum and scant hematocolpos.
We report a case of recurrent hematometra and hematocolpos due to cervical agenesis. Constipation, urinary retention and infection, pelvic infection and tuboovarian abscess, hematosalpix, and endometrosis are the other reported symptomatic presentations of imperforate hymens when treatments were delayed 3 6. Bicornuate uterus with hematometra and bilateral hematosalpinx in a patient with primary amenorrhea, probably due to a transverse vaginal septum. There was no significant medical or surgical history. Work on documents anywhere using the acrobat reader mobile app. Ela pode desenvolver apos o nascimento, aborto, intervencoes intrauterinos. Hematometra and hematocolpos, secondary to cervical canal. The user has requested enhancement of the downloaded file. If you would like a large, unwatermarked image for your web page or blog, please purchase the appropriate license. Hematometra pode estar associado a ambos os patologia orgao anomalias congenitas e doencas adquiridas do utero e vagina, e razoes funcionais hemostasia inadequada e ma contracao do miometrio. Information and translations of hematometra in the most comprehensive dictionary definitions resource on the web.
Hematometra in uterus didelphys with right hemivagina and right renal agenesis article pdf available in journal of obstetrics and gynecology of india 612. You may not embed one of our images on your web page without a link back to our site. Medications are generally used first including antiinflammatories including ibuprofennaproxen, but generally hormone therapy is more effective. Hematometra is a pathologic collection of blood in the uterus. Merge pdf files combine pdfs in the order you want with the easiest pdf merger available. Hematometry definition of hematometry by medical dictionary. Issues uploading documents common errors, causes and. The details of the patients condition were discussed with the patient and her parents, including the complications of outflow obstruction to the right vagina which can lead to hematocolpos, hematometra, hematosalpinx, and later may cause a retrograde bleeding, chronic pelvic pain, endometriosis, and infertility. If cyclic or chronic lower pelvic pain occurs after surgery in menstruating women or among women taking hormone replacement therapy, scarring or narrowing of the endometrial cavity may be the cause. Hematometra, which developed in the first weeks after birth, is called lohiometra. So they did not see the hematometra on the ultrasound. In young women, hematometra may be due to congenital anomalies such as an imperforate hymen. Transvaginal ultrasonography of a hematometra after childbirth, seen as a hypoechoic darker area within the uterine cavity.
Case report a 16yearold unmarried girl reported to gynae opd with complaints of primary amenorrhea and cyclical abdominal pain for 1 year. To change the order of your pdfs, drag and drop the files as you want. Hematometra problems with blood evacuation of the uterus, leading to its accumulation in the body. A haematometrium refers to a uterus filled with blood. It is most commonly caused by an imperforate hymen or a transverse vaginal septum. Its easy to add annotations to documents using a complete set of commenting tools. We report a case of hematometra following obstruction of outflow tract due to prior cesarean delivery. The operation that you have selected will move away from the current results page, your download options will not persist. Uterine infections are usually ascending stds or else associated with foreign bodies in the uterus, such as an iud rare with modern iuds. It is a rare condition that is most commonly associated with congenital anomalies or prior surgical procedures causing an obstruction of the genitourinary outflow tract. Based on work by jacki buros bot and alexandra almonacid, wikidoc user lbiller and wikidoc anonymous user arcadian. Recurrent hematometra and hematocolpos due to cervical agenesis. Hematometra, which is defined as accumulation of menstrual secretions in the uterine cavity, may not be diagnosed until the maturating adolescent fails to menstruate. Feb 18, 2011 hematometra is an accumulation of blood within the uterus.
1236 552 868 530 1299 94 56 1074 555 278 314 569 1027 429 1061 694 920 990 214 596 412 905 114 1676 1007 533 1182 138 630 538 742 853 1008 525 372 401 1339 1397 154 1360