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Computed tomography of unilateral hematometrocolpos
1Department of Radiology, Hadassah University Hospital, Jerusalem, Israel.
Journal of Computer Assisted Tomography
|May 1, 1988
Summary
A 14-year-old girl experienced urinary retention and a pelvic mass. Diagnosis confirmed uterus didelphys with hematometra and hematocolpos.
Area of Science:
- Reproductive medicine
- Gynecological imaging
- Pediatric gynecology
Background:
- Uterus didelphys is a rare congenital anomaly of the female reproductive tract.
- It can be associated with various clinical presentations, including obstructive symptoms.
Observation:
- A 14-year-old female presented with acute urinary retention and a palpable pelvic mass.
- Computed tomography (CT) imaging was utilized for diagnosis.
Findings:
- CT revealed a uterus didelphys, a condition where a double uterus is present.
- A unilateral right moderate hematometra (blood accumulation in the uterus) and a large hematocolpos (blood accumulation in the vagina) were identified.
Implications:
- This case highlights the importance of considering uterine anomalies in adolescent females with obstructive urinary symptoms.
- Prompt diagnosis and management are crucial to prevent complications associated with hematometra and hematocolpos.
- Surgical or medical intervention may be necessary to address the accumulated blood and associated mass.