What causes hematocolpos?
The medical definition of hematocolpos is ‘an accumulation of blood within the vagina’. It is often caused by the combination of menstruation with an imperforate hymen. It is sometimes seen in Robinow syndrome, uterus didelphys, or other vaginal anomalies.
What is the hematocolpos?
Hematocolpos is a term given to a blood-filled dilated vagina due to menstrual blood in the setting of an anatomical obstruction, usually an imperforate hymen. When there is concurrent uterine distention, the term hematometrocolpos is used.
What happens if hematometra goes untreated?
If left untreated, the infection may spread to the abdominal cavity (leading to peritonitis, the inflammation of the membrane lining the inside of the abdominal cavity) or to the bloodstream (causing sepsis).
How do you cure hematometra?
Hematometra is usually treated by surgical cervical dilation to drain the blood from the uterus. Other treatments target the underlying cause of the hematometra; for example, a hysteroscopy may be required to resect adhesions that have developed following a previous surgery.
What is the difference between hematometra and hematocolpos?
Hematocolpos/Hydrocolpos Obstruction within the distal vagina is usually responsible for the development of a hematocolpos. If there is a backup of blood or fluid in the vagina, this may extend into the uterine cavity and result in an associated hematometra.
How is hematocolpos diagnosed?
The diagnosis of hematocolpos is often made on the basis of physical examination, as the hymen may appear to be bulging outward secondary to accumulated secretions. In some cases US may suggest the diagnosis when a thorough physical examination has not been performed.
Is hematometra serious?
A rare cause of acute abdomen in this population is hematometra, which is an inappropriate collection of blood in the uterus. This rare medical condition can lead to lower abdomen distention, pain, and discomfort [2].
What is Cornual hematometra?
Hematometra is a collection of blood within the uterus that becomes trapped. Hematometra may present as cornual, as seen in Case 1, or central, as seen in Case 2. After an ablation procedure, adhesions or synechiae can form during healing.
What is hematometra medical?
Acquired obstruction of the lower female genital tract is rare.[1] Hematometra is a retention of blood in the uterine cavity caused by obstruction to menstrual flow at the level of the uterus, cervix, or vagina.
Can hematometra cause back pain?
Reproductive tract (Mullerian) anomalies causing an accumulation of menstrual blood in the vagina, uterus, and fallopian tubes represent an unusual extraspinal cause of low-back pain. The accumulation of blood in these cavities is termed hematocolpos, hematometra, and hematosalpinx.
Can endometrial ablation cause bladder problems?
You may have difficulty emptying your bladder. Rarely bowel or bladder may be injured. You may have an allergic reaction to the fluid used during the procedure. You may develop an infection in your uterus and/or pelvis.
What is the difference between hematometra and Hematocolpos?
When do you use the term hematocolpos?
Hematocolpos is a term given to a blood-filled dilated vagina due to menstrual blood in the setting of an anatomical obstruction, usually an imperforate hymen. When there is concurrent uterine distention, the term hematometrocolpos is used. Article: Clinical presentation.
What are the signs and symptoms of hematometra?
The early symptoms of hematometra are severe abdominal cramps and pains. They are usually located in one single location of the abdomen and create a strong sensation of discomfort. Blood clots that are then accumulated can trigger a pressure in hypogastrium and the enlargement of the uterus. This increases and can be felt on palpation.
How are hematometra removed from the cervical canal?
Under direct transabdominal ultrasound guidance, a lacrimal probe was inserted into the stenotic cervical os and the cervical canal was visualized by sonogram. Serial cervical dilation was done using cervical dilators. A suction curette size 7 mm was used, and 150 cc of hematometra/hematocolpos was suctioned out.
When to consider cervical stenosis and hematocolpos?
Conclusion: In the work up of a patient presenting with pelvic pain and secondary amenorrhea with a history of a Loop Electrosurgical Excision Procedure (LEEP) or cone procedure, the diagnosis of cervical stenosis and subsequent hematometra should be considered.