Klimek, Peter Michael; Klimek, Miriam; Kessler, Ulf; Oesch, Valerie; Wolf, Rainer; Stranzinger, Enno; Mueller, Michael D.; Zachariou, Zacharias (2012). Hematometra presenting as an acute abdomen in a 13-year-old postmenarchal girl: a case report. Journal of medical case reports, 6(1), p. 419. London: BioMed Central 10.1186/1752-1947-6-419
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Introduction
Most underlying diseases for abdominal pain in children are not dangerous. However some require rapid diagnosis and treatment, such as acute ovarian torsion or appendicitis. Since reaching a diagnosis can be difficult, and delayed treatment of potentially dangerous diseases might have significant consequences, exploratory laparoscopy is a diagnostic and therapeutic option for patients who have unclear and potentially hazardous abdominal diseases. Here we describe a case where the anomaly could not be identified using a laparoscopy in an adolescent girl with acute abdomen.
Case presentation
A 13-year old postmenarchal caucasian female presented with an acute abdomen. Emergency sonography could not exclude ovarian torsion. Accurate diagnosis and treatment were achieved only after an initial laparoscopy followed by a laparotomy and after a magnetic resonance imaging scan a further laparotomy. The underlying disease was hematometra of the right uterine horn in a uterus didelphys in conjunction with an imperforate right cervix.
Conclusion
This report demonstrates that the usual approach for patients with acute abdominal pain may not be sufficient in emergency situations.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Surgery 04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Gynaecology 04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology |
UniBE Contributor: |
Klimek, Peter Michael, Stranzinger, Enno, Mueller, Michael, Zachariou, Zacharias |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1752-1947 |
Publisher: |
BioMed Central |
Language: |
English |
Submitter: |
Factscience Import |
Date Deposited: |
04 Oct 2013 14:31 |
Last Modified: |
05 Dec 2022 14:10 |
Publisher DOI: |
10.1186/1752-1947-6-419 |
PubMed ID: |
23234497 |
BORIS DOI: |
10.7892/boris.12091 |
URI: |
https://boris.unibe.ch/id/eprint/12091 (FactScience: 218370) |
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