An adolescent girl presented to the emergency department with a history of abdominal pain, dribbling, and inability to pass urine for the last 24 hours. The initial observations and examination of respiratory, cardiovascular, ears, nose, and throat (ENT), central nervous system (CNS) and musculoskeletal systems were normal. No onset of menses reported by the patient. She was found to have a palpable distended bladder on abdominal examination. A catheter was inserted by the nurse, who reported no abnormalities. The physician did not perform a FAST scan nor conduct a genital examination. The patient was referred to the paediatrics department and the following day an ultrasound examination led to a diagnosis of haematometrocolpos. The patient was the referred to the obstetric and gynaecological department. Corrective surgery was conducted the following day and she was discharged on the fourth day. While the diagnosis and treatment were correct, had a FAST scan and/or genital examination been part of the initial work-up, diagnosis would have been made in the emergency department and an appropriate referral made directly to obstetric and gynaecological team. Rapid diagnosis and treatment would have benefitted the patient, reduced the risks of complications, and cut the length of stay in the hospital by as much as two days.
| Published in | Clinical Medicine Research (Volume 10, Issue 4) |
| DOI | 10.11648/j.cmr.20211004.11 |
| Page(s) | 112-115 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Haematocolpos, Urinary Retention, FAST, Ultrasound, PoCUS
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APA Style
Volha Pankevich. (2021). Adolescent Haematocolpos: Seek and You Shall Find. Clinical Medicine Research, 10(4), 112-115. https://doi.org/10.11648/j.cmr.20211004.11
ACS Style
Volha Pankevich. Adolescent Haematocolpos: Seek and You Shall Find. Clin. Med. Res. 2021, 10(4), 112-115. doi: 10.11648/j.cmr.20211004.11
AMA Style
Volha Pankevich. Adolescent Haematocolpos: Seek and You Shall Find. Clin Med Res. 2021;10(4):112-115. doi: 10.11648/j.cmr.20211004.11
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Download@article{10.11648/j.cmr.20211004.11,
author = {Volha Pankevich},
title = {Adolescent Haematocolpos: Seek and You Shall Find},
journal = {Clinical Medicine Research},
volume = {10},
number = {4},
pages = {112-115},
doi = {10.11648/j.cmr.20211004.11},
url = {https://doi.org/10.11648/j.cmr.20211004.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20211004.11},
abstract = {An adolescent girl presented to the emergency department with a history of abdominal pain, dribbling, and inability to pass urine for the last 24 hours. The initial observations and examination of respiratory, cardiovascular, ears, nose, and throat (ENT), central nervous system (CNS) and musculoskeletal systems were normal. No onset of menses reported by the patient. She was found to have a palpable distended bladder on abdominal examination. A catheter was inserted by the nurse, who reported no abnormalities. The physician did not perform a FAST scan nor conduct a genital examination. The patient was referred to the paediatrics department and the following day an ultrasound examination led to a diagnosis of haematometrocolpos. The patient was the referred to the obstetric and gynaecological department. Corrective surgery was conducted the following day and she was discharged on the fourth day. While the diagnosis and treatment were correct, had a FAST scan and/or genital examination been part of the initial work-up, diagnosis would have been made in the emergency department and an appropriate referral made directly to obstetric and gynaecological team. Rapid diagnosis and treatment would have benefitted the patient, reduced the risks of complications, and cut the length of stay in the hospital by as much as two days.},
year = {2021}
}
TY - JOUR T1 - Adolescent Haematocolpos: Seek and You Shall Find AU - Volha Pankevich Y1 - 2021/07/02 PY - 2021 N1 - https://doi.org/10.11648/j.cmr.20211004.11 DO - 10.11648/j.cmr.20211004.11 T2 - Clinical Medicine Research JF - Clinical Medicine Research JO - Clinical Medicine Research SP - 112 EP - 115 PB - Science Publishing Group SN - 2326-9057 UR - https://doi.org/10.11648/j.cmr.20211004.11 AB - An adolescent girl presented to the emergency department with a history of abdominal pain, dribbling, and inability to pass urine for the last 24 hours. The initial observations and examination of respiratory, cardiovascular, ears, nose, and throat (ENT), central nervous system (CNS) and musculoskeletal systems were normal. No onset of menses reported by the patient. She was found to have a palpable distended bladder on abdominal examination. A catheter was inserted by the nurse, who reported no abnormalities. The physician did not perform a FAST scan nor conduct a genital examination. The patient was referred to the paediatrics department and the following day an ultrasound examination led to a diagnosis of haematometrocolpos. The patient was the referred to the obstetric and gynaecological department. Corrective surgery was conducted the following day and she was discharged on the fourth day. While the diagnosis and treatment were correct, had a FAST scan and/or genital examination been part of the initial work-up, diagnosis would have been made in the emergency department and an appropriate referral made directly to obstetric and gynaecological team. Rapid diagnosis and treatment would have benefitted the patient, reduced the risks of complications, and cut the length of stay in the hospital by as much as two days. VL - 10 IS - 4 ER -
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