Hematometrocolpos associated with common cloacal anomaly

Area of Science:

• Pediatric Surgery
• Gynecologic Surgery
• Medical Imaging

Background:

• Hematometrocolpos is a rare condition characterized by the accumulation of menstrual blood in the uterus and vagina.
• Common cloacal malformation is a complex congenital anomaly requiring specialized management.
• This case highlights the diagnostic and management challenges in adolescents with rare gynecologic conditions.

Purpose of the Study:

• To present a rare case of hematometrocolpos in a patient with common cloacal malformation.
• To illustrate the diagnostic utility of imaging modalities in identifying hematometrocolpos.
• To discuss the surgical management of hematometrocolpos in the context of complex congenital anomalies.

Main Methods:

• Case report of a 14-year-old female with common cloacal malformation.
• Pelvic ultrasound and computed tomography (CT) scan for diagnostic evaluation.
• Surgical exploration and management.

Main Results:

• A tender pelvic mass was identified, consistent with hematometrocolpos.
• Imaging confirmed a uterus and vagina filled with blood.
• Intraoperative findings revealed significant pelvic adhesions requiring uterine removal.

Conclusions:

• Hematometrocolpos can occur in patients with common cloacal malformation.
• Multimodality imaging is crucial for diagnosis.
• Surgical management may involve hysterectomy in complex cases with adhesions.