Hematomaetra
| Classification according to ICD-10 | |
|---|---|
| N85.7 | Hematomaetra |
| ICD-10 online (WHO version 2019) | |
A hematomaetra ( ancient Greek αἷμα haima , German 'blood' and μήτρα metra , German 'uterus' ) means that the uterus is filled with blood (in humans mostly through menstruation ). If the vagina is also filled with blood, this is called a hematomaetrocolpos (κόλπος kolpos 'vagina'). If only the vagina is affected, one speaks of a hematocolpos . The term hemometra is mostly used in animals .
root cause
It is based on the occlusion of the vagina by hymeneal atresia or, more rarely, a vaginal membrane, a form of gynatresia .
There is an association with Robinow syndrome , the uterus didelphys, or duplicates of the vagina and / or uterus.
diagnosis
This widening can be palpable or even visible as a tumor in the lower abdomen. A backwater up to the fallopian tube is possible, so-called hematosalpinx .
The diagnosis is usually made by means of an ultrasound examination .
Differential diagnosis
Other (bleeding) masses of the lower abdomen are to be distinguished .
therapy
Treatment consists of surgical transection of the hymen or the obstructing membrane.
literature
- M. Bettex, N. Genton, M. Stockmann (Eds.): Pediatric Surgery. Diagnostics, indication, therapy, prognosis. 2nd Edition. Thieme 1982, ISBN 3-13-338102-4 , p. 8.219
- A. Sigel, R.-H. Ringert (Ed.): Pediatric urology. 2nd Edition. Springer, Berlin 2001, ISBN 3-662-08081-8 (print) / ISBN 978-3-662-08080-1 (e-book), p. 497.
Individual evidence
- ↑ Willibald Pschyrembel : Clinical Dictionary . 266th, updated edition. de Gruyter, Berlin 2014, ISBN 978-3-11-033997-0
