,
Albert Yemba Baruani Ahuka*,
Mathieu Masudi Saburi,
Richard Kabuyanga Kabuseba
Background: Imperforate hymen is a rare congenital anomaly of the female genital tract. It is often diagnosed in adolescence due to symptoms related to hematocolpos. However, it can present in the neonatal period with significant hydrocolpos, which can lead to abdominal distension and other complications. Case Presentation: We report a case of a newborn female presenting with significant hydrocolpos due to an imperforate hymen. The infant was born at term through vaginal delivery with no complications during pregnancy. On physical examination shortly after birth, the infant exhibited marked abdominal distension. Ultrasound examination revealed a large cystic mass in the pelvic region consistent with hydrocolpos. Diagnosis and Management: The diagnosis of imperforate hymen was confirmed through a thorough physical examination. A small bulging membrane was observed at the introitus, and subsequent imaging supported the diagnosis. A hymenotomy was performed under general anesthesia, and approximately 50mL of milky fluid was drained from the vaginal canal. The infant's recovery was uneventful, and follow-up examinations showed no recurrence of symptoms. Discussion: This case underscores the importance of considering imperforate hymen in the differential diagnosis of a newborn with abdominal distension. Early recognition and prompt surgical intervention are crucial to prevent complications such as urinary obstruction, infection, and potential damage to the reproductive organs. Neonatal hydrocolpos due to imperforate hymen is rare but should be recognized as a possible etiology in similar presentations. Conclusion: Imperforate hymen with significant hydrocolpos can present in the neonatal period. Early diagnosis and surgical management are essential for a favorable outcome. This case highlights the need for awareness among clinicians regarding this rare but treatable condition.
| Published in | American Journal of Medical Science and Technology (Volume 1, Issue 1) |
| DOI | 10.11648/j.ajmst.20250101.13 |
| Page(s) | 14-17 |
| 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), 2025. Published by Science Publishing Group |
Hydrocolpos, Goma, DRC
CIMAK | Clinique Internationale de Médecine Avancée au Kivu |
DRC | Democratic Republic of Congo |
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APA Style
Mulyumba, M. K., Ahuka, A. Y. B., Saburi, M. M., Kabuseba, R. K. (2025). Hymeneal Imperforation with Significant Hydrocolpos at Birth: A Case Report. American Journal of Medical Science and Technology, 1(1), 14-17. https://doi.org/10.11648/j.ajmst.20250101.13
ACS Style
Mulyumba, M. K.; Ahuka, A. Y. B.; Saburi, M. M.; Kabuseba, R. K. Hymeneal Imperforation with Significant Hydrocolpos at Birth: A Case Report. Am. J. Med. Sci. Technol. 2025, 1(1), 14-17. doi: 10.11648/j.ajmst.20250101.13
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Download@article{10.11648/j.ajmst.20250101.13,
author = {Michel Kyembwa Mulyumba and Albert Yemba Baruani Ahuka and Mathieu Masudi Saburi and Richard Kabuyanga Kabuseba},
title = {Hymeneal Imperforation with Significant Hydrocolpos at Birth: A Case Report },
journal = {American Journal of Medical Science and Technology},
volume = {1},
number = {1},
pages = {14-17},
doi = {10.11648/j.ajmst.20250101.13},
url = {https://doi.org/10.11648/j.ajmst.20250101.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajmst.20250101.13},
abstract = {Background: Imperforate hymen is a rare congenital anomaly of the female genital tract. It is often diagnosed in adolescence due to symptoms related to hematocolpos. However, it can present in the neonatal period with significant hydrocolpos, which can lead to abdominal distension and other complications. Case Presentation: We report a case of a newborn female presenting with significant hydrocolpos due to an imperforate hymen. The infant was born at term through vaginal delivery with no complications during pregnancy. On physical examination shortly after birth, the infant exhibited marked abdominal distension. Ultrasound examination revealed a large cystic mass in the pelvic region consistent with hydrocolpos. Diagnosis and Management: The diagnosis of imperforate hymen was confirmed through a thorough physical examination. A small bulging membrane was observed at the introitus, and subsequent imaging supported the diagnosis. A hymenotomy was performed under general anesthesia, and approximately 50mL of milky fluid was drained from the vaginal canal. The infant's recovery was uneventful, and follow-up examinations showed no recurrence of symptoms. Discussion: This case underscores the importance of considering imperforate hymen in the differential diagnosis of a newborn with abdominal distension. Early recognition and prompt surgical intervention are crucial to prevent complications such as urinary obstruction, infection, and potential damage to the reproductive organs. Neonatal hydrocolpos due to imperforate hymen is rare but should be recognized as a possible etiology in similar presentations. Conclusion: Imperforate hymen with significant hydrocolpos can present in the neonatal period. Early diagnosis and surgical management are essential for a favorable outcome. This case highlights the need for awareness among clinicians regarding this rare but treatable condition.},
year = {2025}
}
TY - JOUR T1 - Hymeneal Imperforation with Significant Hydrocolpos at Birth: A Case Report AU - Michel Kyembwa Mulyumba AU - Albert Yemba Baruani Ahuka AU - Mathieu Masudi Saburi AU - Richard Kabuyanga Kabuseba Y1 - 2025/12/24 PY - 2025 N1 - https://doi.org/10.11648/j.ajmst.20250101.13 DO - 10.11648/j.ajmst.20250101.13 T2 - American Journal of Medical Science and Technology JF - American Journal of Medical Science and Technology JO - American Journal of Medical Science and Technology SP - 14 EP - 17 PB - Science Publishing Group UR - https://doi.org/10.11648/j.ajmst.20250101.13 AB - Background: Imperforate hymen is a rare congenital anomaly of the female genital tract. It is often diagnosed in adolescence due to symptoms related to hematocolpos. However, it can present in the neonatal period with significant hydrocolpos, which can lead to abdominal distension and other complications. Case Presentation: We report a case of a newborn female presenting with significant hydrocolpos due to an imperforate hymen. The infant was born at term through vaginal delivery with no complications during pregnancy. On physical examination shortly after birth, the infant exhibited marked abdominal distension. Ultrasound examination revealed a large cystic mass in the pelvic region consistent with hydrocolpos. Diagnosis and Management: The diagnosis of imperforate hymen was confirmed through a thorough physical examination. A small bulging membrane was observed at the introitus, and subsequent imaging supported the diagnosis. A hymenotomy was performed under general anesthesia, and approximately 50mL of milky fluid was drained from the vaginal canal. The infant's recovery was uneventful, and follow-up examinations showed no recurrence of symptoms. Discussion: This case underscores the importance of considering imperforate hymen in the differential diagnosis of a newborn with abdominal distension. Early recognition and prompt surgical intervention are crucial to prevent complications such as urinary obstruction, infection, and potential damage to the reproductive organs. Neonatal hydrocolpos due to imperforate hymen is rare but should be recognized as a possible etiology in similar presentations. Conclusion: Imperforate hymen with significant hydrocolpos can present in the neonatal period. Early diagnosis and surgical management are essential for a favorable outcome. This case highlights the need for awareness among clinicians regarding this rare but treatable condition. VL - 1 IS - 1 ER -
Department of Obstetrics and Gynecology, University of Goma, Goma, Democratic Republic of Congo;Department of Obstetrics and Gynecology, North Kivu General Hospital, Goma, Democratic Republic of Congo
Department of Obstetrics and Gynecology, University of Goma, Goma, Democratic Republic of Congo;Department of Obstetrics and Gynecology, Clinique Internationale de Medecine Avancee au Kivu (CIMAK), Goma, Democratic Republic of Congo
Department of Obstetrics and Gynecology, University of Goma, Goma, Democratic Republic of Congo;Department of Obstetrics and Gynecology, North Kivu General Hospital, Goma, Democratic Republic of Congo
Department of Obstetrics and Gynecology, University of Goma, Goma, Democratic Republic of Congo;Department of Obstetrics and Gynecology, North Kivu General Hospital, Goma, Democratic Republic of Congo
Figure 1. Preoperative appearance of imperforate hymen and vulvar edema (Preoperative aspect).
Figure 2. Drained fluid with a milky appearance (per operative appearance).
Figure 3. Vulva after hymenotomy and drainage (Immediate postoperative appearance).
Figure 4. Vaginal orifice one-month post-operation.
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