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Microperforate Hymen and Pyocolpos: A Case Report and Review of the Literature
Stephanie C Tardieu1, Heather Appelbaum1
1Department of Obstetrics and Gynecology, Division of Pediatric and Adolescent Gynecology, North Shore-Long Island Jewish University Hospital, Hofstra Northwell School of Medicine, New Hyde Park, New York.
Background:
Microperforate hymen is a rare congenital anomaly characterized by a small pinpoint opening in the hymen; girls with this anomaly are prone to develop ascending pelvic infections and recurrent urinary tract infections.
Case:
We report the case of a 3-year-old girl who presented with fevers, abdominal pain, recurrent vaginitis, and dysuria. She was found to have a microperforate hymen and pyocolpos. She was treated with intravenous antibiotics and underwent hymenotomy and drainage of 150 cc of purulent fluid.
Summary And Conclusion:
This case highlights the need to perform thorough genital inspection and to consider hymenal anomalies in the differential diagnosis of girls who present with recurrent dysuria, vaginitis, fevers, and abdominal pain. Early intervention might prevent the development of pyocolpos and other sequelae associated with this anomaly.
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