RESUMEN
BACKGROUND: Microperforate hymen is a rare congenital anomaly characterized by a small pinpoint opening in the hymen; girls with this anomaly are prone to develop ascending pelvic infections and recurrent urinary tract infections. CASE: We report the case of a 3-year-old girl who presented with fevers, abdominal pain, recurrent vaginitis, and dysuria. She was found to have a microperforate hymen and pyocolpos. She was treated with intravenous antibiotics and underwent hymenotomy and drainage of 150 cc of purulent fluid. SUMMARY AND CONCLUSION: This case highlights the need to perform thorough genital inspection and to consider hymenal anomalies in the differential diagnosis of girls who present with recurrent dysuria, vaginitis, fevers, and abdominal pain. Early intervention might prevent the development of pyocolpos and other sequelae associated with this anomaly.
Asunto(s)
Hidrocolpos/etiología , Himen/anomalías , Procedimientos de Cirugía Plástica/métodos , Antibacterianos/uso terapéutico , Preescolar , Colpotomía , Drenaje , Femenino , Humanos , Hidrocolpos/tratamiento farmacológico , Hidrocolpos/cirugía , Himen/cirugía , Supuración , Infecciones Urinarias/etiología , Vaginitis/etiologíaRESUMEN
The current publication describes a case of a two months old girl with a transverse vaginal septum presented. The clinical debut is with a large hydromucocolpos. It is concomitantly presented with a bilateral postaxial polydactyly of the upper limbs, typical for McKusick-Kaufmann syndrome.