Hematocolpos

Hematocolpos
Classification and external resources
Specialty	urology
ICD-10	N89.7
ICD-9-CM	626.8

Hematocolpos is a medical condition in which the vagina fills with menstrual blood. It is often caused by the combination of menstruation with an imperforate hymen.^[1][2] It is sometimes seen in Robinow syndrome, uterus didelphys, or other congenital conditions.

A related disorder is hematometra, where the uterus fills with menstrual blood. It presents after puberty as primary amenorrhoea, recurrent pelvic pain with a pelvic mass. This can be caused by a congenital stenosis of the cervix, or by a complication of a surgical treatment.^[3]

Treatment

It is generally treated surgically, with a hymenotomy or other surgery to remove any tissue that blocks the menstrual flow.

References

1. Kloss, Brian T.; Nacca, Nicholas E.; Cantor, Richard M. (6 May 2010). "Hematocolpos secondary to imperforate hymen". International Journal of Emergency Medicine 3 (4): 481–482. doi:10.1007/s12245-010-0171-2. PMC 3047835. PMID 21373333.
2. TOMPKINS, PENDLETON (2 September 1939). "THE TREATMENT OF IMPERFORATE HYMEN WITH HEMATOCOLPOS". Journal of the American Medical Association 113 (10): 913–916. doi:10.1001/jama.1939.02800350023007.
3. Verma, SK; Baltarowich, OH; Lev-Toaff, AS; Mitchell, DG; Verma, M; Batzer, F (Jul 2009). "Hematocolpos secondary to acquired vaginal scarring after radiation therapy for colorectal carcinoma." (PDF). Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine 28 (7): 949–53. PMID 19546336.