Hematometra
| Hematometra | |
|---|---|
| Other names | Hemometra |
Gynecology | |
Hematometra is a medical condition involving collection or retention of blood in the
transverse vaginal septum
.
Signs and symptoms
Hematometra typically presents as cyclic, cramping pain in the midline of the pelvis or lower abdomen.
Pathophysiology
Hematometra develops when the uterus becomes distended with blood secondary to obstruction or
transverse vaginal septum or vaginal hypoplasia. Other causes are acquired, such as cervical stenosis, intrauterine adhesions, endometrial cancer, and cervical cancer.[3]
Additionally, hematometra may develop as a complication of uterine or cervical surgery such as
stroma causing blood to accumulate in the uterine cavity.[1] It can also develop after abortion,[4] as well as after childbirth. It can also develop after female genital mutilation
.
Diagnosis
Although hematometra can often be diagnosed based purely on the patient's history of amenorrhea and cyclic abdominal pain, as well as a palpable pelvic mass on examination, the diagnosis can be confirmed by
congenital disorder that is suspected to be the underlying cause of the hematometra.[2]
Management
Hematometra is usually treated by surgical
prophylaxis against the possibility of infection.[3]
See also
- Hematocolpos, collection of menstrual blood in the vagina
References
- ^ ISBN 9780323074667.
- ^ ISBN 9780781732789.
- ^ ISBN 9781416056829.
- ^ ISBN 9780323261135.
- ^ ISBN 9780323091312.