Hematometra presenting as an acute abdomen in a 13-year-old postmenarchal girl: a case report

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 and 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:

06 Dec 2014 19:01

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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