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Gynecology
Diagnosis
Vagina and Vulva
Congenital
Imperforate Hymen
Imperforate Hymen
Douglas Rogers, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Hymenal obstruction

          • Definitions

            • Distal vaginal obstruction by thin, endodermal membrane at level of introitus
            • Failure of sinovaginal bulbs to canalize
              • Not considered anomaly of müllerian duct origin

          IMAGING

          • General Features

            • MR Findings

              • Ultrasonographic Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    CLINICAL ISSUES

                    • Presentation

                      • Demographics

                        • Treatment

                          Selected References

                          1. Lee KH et al: Imperforate hymen: a comprehensive systematic review. J Clin Med. 8(1), 2019
                          2. Fischer JW et al: Emergency point-of-care ultrasound diagnosis of hematocolpometra and imperforate hymen in the pediatric emergency department. Pediatr Emerg Care. 30(2):128-30, 2014
                          3. Domany E et al: Imperforate hymen presenting as chronic low back pain. Pediatrics. 132(3):e768-70, 2013
                          4. Ghadian A et al: Is hymenotomy enough for treatment of imperforated hymen? Nephrourol Mon. 5(5):1012, 2013
                          5. Salhan B et al: A rare presentation of imperforate hymen: a case report. Case Rep Urol. 2013:731019, 2013
                          6. Vitale V et al: Imperforate hymen causing congenital hydrometrocolpos. J Ultrasound. 16(1):37-9, 2013
                          7. Eksioglu AS et al: Imperforate hymen causing bilateral hydroureteronephrosis in an infant with bicornuate uterus. Case Rep Urol. 2012:102683, 2012
                          8. Fedele L et al: A uterovaginal septum and imperforate hymen with a double pyocolpos. Hum Reprod. 27(6):1637-9, 2012
                          9. Ruggeri G et al: Vaginal malformations: a proposed classification based on embryological, anatomical and clinical criteria and their surgical management (an analysis of 167 cases). Pediatr Surg Int. 28(8):797-803, 2012
                          10. Ozturk H et al: Congenital imperforate hymen with bilateral hydronephrosis, polydactyly and laryngocele: a rare neonatal presentation. Fetal Pediatr Pathol. 29(2):89-94, 2010
                          11. Johal NS et al: Neonatal imperforate hymen causing obstruction of the urinary tract. Urology. 73(4):750-1, 2009
                          12. Adaletli I et al: Congenital imperforate hymen with hydrocolpos diagnosed using prenatal MRI. AJR Am J Roentgenol. 189(1):W23-5, 2007
                          Related Anatomy
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                          Related Differential Diagnoses
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                          References
                          Tables

                          Tables

                          KEY FACTS

                          • Terminology

                            • Imaging

                              • Top Differential Diagnoses

                                • Clinical Issues

                                  TERMINOLOGY

                                  • Synonyms

                                    • Hymenal obstruction

                                  • Definitions

                                    • Distal vaginal obstruction by thin, endodermal membrane at level of introitus
                                    • Failure of sinovaginal bulbs to canalize
                                      • Not considered anomaly of müllerian duct origin

                                  IMAGING

                                  • General Features

                                    • MR Findings

                                      • Ultrasonographic Findings

                                        • Imaging Recommendations

                                          DIFFERENTIAL DIAGNOSIS

                                            CLINICAL ISSUES

                                            • Presentation

                                              • Demographics

                                                • Treatment

                                                  Selected References

                                                  1. Lee KH et al: Imperforate hymen: a comprehensive systematic review. J Clin Med. 8(1), 2019
                                                  2. Fischer JW et al: Emergency point-of-care ultrasound diagnosis of hematocolpometra and imperforate hymen in the pediatric emergency department. Pediatr Emerg Care. 30(2):128-30, 2014
                                                  3. Domany E et al: Imperforate hymen presenting as chronic low back pain. Pediatrics. 132(3):e768-70, 2013
                                                  4. Ghadian A et al: Is hymenotomy enough for treatment of imperforated hymen? Nephrourol Mon. 5(5):1012, 2013
                                                  5. Salhan B et al: A rare presentation of imperforate hymen: a case report. Case Rep Urol. 2013:731019, 2013
                                                  6. Vitale V et al: Imperforate hymen causing congenital hydrometrocolpos. J Ultrasound. 16(1):37-9, 2013
                                                  7. Eksioglu AS et al: Imperforate hymen causing bilateral hydroureteronephrosis in an infant with bicornuate uterus. Case Rep Urol. 2012:102683, 2012
                                                  8. Fedele L et al: A uterovaginal septum and imperforate hymen with a double pyocolpos. Hum Reprod. 27(6):1637-9, 2012
                                                  9. Ruggeri G et al: Vaginal malformations: a proposed classification based on embryological, anatomical and clinical criteria and their surgical management (an analysis of 167 cases). Pediatr Surg Int. 28(8):797-803, 2012
                                                  10. Ozturk H et al: Congenital imperforate hymen with bilateral hydronephrosis, polydactyly and laryngocele: a rare neonatal presentation. Fetal Pediatr Pathol. 29(2):89-94, 2010
                                                  11. Johal NS et al: Neonatal imperforate hymen causing obstruction of the urinary tract. Urology. 73(4):750-1, 2009
                                                  12. Adaletli I et al: Congenital imperforate hymen with hydrocolpos diagnosed using prenatal MRI. AJR Am J Roentgenol. 189(1):W23-5, 2007