Management of hematometrocolpos due to dysfunctional uterine bleeding following progestin use: a case report.

Autor:	Bakacak M; Department of Obstetrics and Gynecology, Sutcu Imam University Faculty of Medicine, Kahramanmaras, Turkey., Avci F; Department of Obstetrics and Gynecology, Sutcu Imam University Faculty of Medicine, Kahramanmaras, Turkey., Bostanci MS; Department of Obstetrics and Gynecology, Sakarya University Training and Research Hospital, Sakarya, Turkey., Bakacak Z; Private Caka Vatan Hospital, Kahramanmaras, Turkey., Serin S; Department of Obstetrics and Gynecology, Sutcu Imam University Faculty of Medicine, Kahramanmaras, Turkey., Ercan O; Department of Obstetrics and Gynecology, Sutcu Imam University Faculty of Medicine, Kahramanmaras, Turkey., Kostu B; Department of Obstetrics and Gynecology, Sutcu Imam University Faculty of Medicine, Kahramanmaras, Turkey.
Jazyk:	angličtina
Zdroj:	Northern clinics of Istanbul [North Clin Istanb] 2014 Aug 03; Vol. 1 (1), pp. 45-48. Date of Electronic Publication: 2014 Aug 03 (Print Publication: 2014).
DOI:	10.14744/nci.2014.32932
Abstrakt:	Hematometrocolpos is accumulation of blood in the vagina and uterine cavity due to intra-uterine hemorrhage. A 20-year-old female presented to our clinic with massive menorrhagia at menarche after progestin usage. Hematometrocolpos was detected by transabdominal ultrasonography. She was pale because of heavy bleeding for 5 days and hemoglobin level was measured as 5.1 g/dl. Initial treatment was blood transfusion and medical drug therapy. After resolution of the hematometrocolpos was shown by transabdominal ultrasound 2 days later, the patient, who was stable, was discharged without complication. Obstruction of the female genital outflow tract is rarely seen. Hematocolpos has been reported in elderly women following vaginal occlusion due to radiotherapy, vaginal fibroma and labial synechiae causing infection or inflammatory conditions. The case is presented here because of the successful management of hematometrocolpos due to massive dysfunctional uterine bleeding in a young virgin patient. Competing Interests: No conflict of interest was declared by the authors.
Databáze:	MEDLINE
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