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Chapter: Paediatrics: Paediatric Surgery

Paediatrics: Imperforate hymen

An imperforate hymen usually presents within a few days of life with a lower abdominal mass, sometimes associated with urinary retention. Intrauterine stimulation of the infant’s cervical mucous glands by ma-ternal oestrogens causes accumulation of secretions (mucocolpos).

Imperforate hymen

 

An imperforate hymen usually presents within a few days of life with a lower abdominal mass, sometimes associated with urinary retention. Intrauterine stimulation of the infant’s cervical mucous glands by ma-ternal oestrogens causes accumulation of secretions (mucocolpos). The imperforate hymen can be seen bulging through the introitus and treat-ment consists of incising the hymen. Occasionally, an imperforate hymen is not detected in the newborn period and presents at puberty with p amenorrhoea or a painful lower abdominal mass from a haematocolpos. Treatment again comprises incision of the hymen and should be per-formed under general anaesthesia.

 

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Paediatrics: Paediatric Surgery


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