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Imperforate Hymen
Christine O. Menias, MD; Caroline Reinhold, MD, MSc
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Hymenal obstruction
          • Definitions

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

          IMAGING

          • General Features

            • MR Findings

              • Ultrasonographic Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    CLINICAL ISSUES

                    • Presentation

                      • Treatment

                        Selected References

                        1. 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
                        2. Domany E et al: Imperforate hymen presenting as chronic low back pain. Pediatrics. 132(3):e768-70, 2013
                        3. Ghadian A et al: Is hymenotomy enough for treatment of imperforated hymen? Nephrourol Mon. 5(5):1012, 2013
                        4. Salhan B et al: A rare presentation of imperforate hymen: a case report. Case Rep Urol. 2013:731019, 2013
                        5. Vitale V et al: Imperforate hymen causing congenital hydrometrocolpos. J Ultrasound. 16(1):37-9, 2013
                        6. Eksioglu AS et al: Imperforate hymen causing bilateral hydroureteronephrosis in an infant with bicornuate uterus. Case Rep Urol. 2012:102683, 2012
                        7. Fedele L et al: A uterovaginal septum and imperforate hymen with a double pyocolpos. Hum Reprod. 27(6):1637-9, 2012
                        8. 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
                        9. 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
                        10. Johal NS et al: Neonatal imperforate hymen causing obstruction of the urinary tract. Urology. 73(4):750-1, 2009
                        11. 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 a thin endodermal membrane at level of introitus
                                  • Failure of sinovaginal bulbs to completely canalize
                                    • Not considered an anomaly of müllerian duct origin

                                IMAGING

                                • General Features

                                  • MR Findings

                                    • Ultrasonographic Findings

                                      • Imaging Recommendations

                                        DIFFERENTIAL DIAGNOSIS

                                          CLINICAL ISSUES

                                          • Presentation

                                            • Treatment

                                              Selected References

                                              1. 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
                                              2. Domany E et al: Imperforate hymen presenting as chronic low back pain. Pediatrics. 132(3):e768-70, 2013
                                              3. Ghadian A et al: Is hymenotomy enough for treatment of imperforated hymen? Nephrourol Mon. 5(5):1012, 2013
                                              4. Salhan B et al: A rare presentation of imperforate hymen: a case report. Case Rep Urol. 2013:731019, 2013
                                              5. Vitale V et al: Imperforate hymen causing congenital hydrometrocolpos. J Ultrasound. 16(1):37-9, 2013
                                              6. Eksioglu AS et al: Imperforate hymen causing bilateral hydroureteronephrosis in an infant with bicornuate uterus. Case Rep Urol. 2012:102683, 2012
                                              7. Fedele L et al: A uterovaginal septum and imperforate hymen with a double pyocolpos. Hum Reprod. 27(6):1637-9, 2012
                                              8. 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
                                              9. 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
                                              10. Johal NS et al: Neonatal imperforate hymen causing obstruction of the urinary tract. Urology. 73(4):750-1, 2009
                                              11. Adaletli I et al: Congenital imperforate hymen with hydrocolpos diagnosed using prenatal MRI. AJR Am J Roentgenol. 189(1):W23-5, 2007