PRIMARY AMENORRHEA TO URINARY RETENTION: A CASE REPORT OF IMPERFORATE HYMEN, A RARE CONGENITAL CONDITION
DOI:
https://doi.org/10.29303/jk.v15i2.8554Keywords:
imperforate hymen, hymenectomy, case reportAbstract
ABSTRACT
Introduction: Imperforate hymen is a rare congenital condition that occurs in 1 in 1,000 females. In imperforate hymen, the epithelial cells in the central hymenal membrane fail to degenerate, resulting in an intact hymen.
Case Report: A 14-year-old girl presented with complaints of pain in the genital area and lower abdomen for 2 months, worsening over the past 3 days. She also experienced dysuria and urinary retention for the past 3 days. The patient had never experienced menstruation. Physical examination revealed abdominal distension and suprapubic tenderness. Gynecological examination showed a bulging hymenal membrane. Ultrasound examination revealed hematocolpos. Based on the examination results, the patient was diagnosed with imperforate hymen. A catheter was inserted to manage urinary retention. The patient then underwent a hymenectomy. After the procedure, the patient's symptoms improved, and urinary retention was resolved.
Discussion: The definitive management for this case is hymenectomy. Urinary retention occurs due to hematocolpos compressing the urinary tract.
Conclusion: Early and accurate diagnosis in adolescents with primary amenorrhea is crucial to prevent complications.
Keywords: imperforate hymen, hymenectomy, case report.
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Copyright (c) 2026 Iviana Jasin, Grantina Nugraha, Ida Bagus Yuda Andika
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