Hematocolpos

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Classification according to ICD-10
N89.7 Hematocolpos

Hematocolpos with Hematometra or Hematosalpinx

ICD-10 online (WHO version 2019)

A hematocolpos (from ancient Greek αἷμα haima , German 'blood' and κόλπος kolpos , German 'sheath' ) means that the vagina is filled with blood (mostly through menstruation ).

If the backlog of blood reaches into the uterine lumen, one speaks of a hematometra or a hematometrocolpos.

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.

The diagnosis is usually made by means of an ultrasound examination .

Differential diagnosis

Other ( bleeding ) masses of the lower abdomen or an accumulation of pus in the vagina ( pyokolpos ) must be distinguished.

therapy

Treatment consists of surgical transection of the hymen or the obstructing membrane.

literature

  • Marcel Bettex (ed.), Max Grob (introductory), D. Berger (editing), N. Genton, M. Stockmann: Pediatric Surgery. Diagnostics, indication, therapy, prognosis. 2nd, revised edition, Thieme, Stuttgart / New York 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

  1. ^ W. Pschyrembel: Clinical dictionary. 266th, updated edition, de Gruyter, Berlin 2014, ISBN 978-3-11-033997-0 , p. 634.