Lisa MA Madder, Thalia Reitsema, Monique A Huisman, Eva Stekkinger and Paul JQ van der Linden*
Department of Obstetrics and Gynecology, Deventer Ziekenhuis, The NetherlandsFulltext PDF
Introduction: Hematocolpos, an accumulation of menstrual blood in the vagina and hematometrocolpos, an accumulation of menstrual blood in the vagina and uterine cavity, are clinical signs that may occur due to congenital anomalies or vaginal and cervical occlusion. We report a rare case of complete vaginal atresia secondary to an injury during childbirth. Case Report: A 34-year-old woman, gravida 2, para 2, came to the emergency department after suffering for two days from abdominal pain in the right lower quadrant. Five months ago, she had an assisted birth using a ventouse. She complained of amenorrhea and urinary retention. Ultrasound at the emergency department showed a spherical cavity in her vagina. A vaginal atresia resulted in an accumulation of old menstrual blood. This hematocolpos was surgically opened and normal anatomy of the vagina was restored. The vaginal atresia was the result of an injury of the birth canal that occurred during childbirth. Conclusion: We present a rare case of acquired vaginal atresia resulting in a hematocolpos. It is of pivotal importance to inspect the birth canal for any injuries after childbirth. A woman’s recovery postpartum should always be observed by care givers. When the recovery is atypical or abnormal, physical examination or extra investigation should be considered.
Amenorrhea; Vaginal atresia/vaginal obstruction; Hematometrocolpos/ hematocolpos; Urinary retention
Madder LMA, Reitsema T, Huisman MA, Stekkinger E, van der Linden PJQ. A Woman with a Hematocolpos Five Months Postpartum. Ann Clin Case Rep. 2022; 7: 2223..