Imperforate hymen case causing globe vesicale

Imperforated hymen is a rare congenital anomaly due to the non-completion of Mullerian development. Although its exact incidence is not known, it is approximately 0.014-0.01%. Its progress is asymptomatic until menstrual cycle starts. When menstruations start, different symptoms may arise depending on the cyclic pelvic pains and pelvic compression of hematometrocolpos. The cases mostly refer due to the primary amenorrhea. In the physical and US examinations of 13-year-old patient who referred to the emergency clinic with the complaint of abdominal ache, she was diagnosed with globe vesicale. In the gynecologic examination, extremely cambered imperforated hymen was observed. In the pelvic ultrasonography we performed, there was an appearance compatible with hematocolpos with the size of 11x12 cm in the pelvis. The patient was applied hymenotomy, and she was discharged without any problem on the postoperative first day. In conclusion, imperforated hymen should be remembered in the differential diagnosis when investigating the reason of acute urine retention in adolescent girls.

Keywords

Globe vesicale, imperforated hymen, hematocolpos.