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imperforate hymen
Etiology:
- failure of the hymen to perforate during fetal development
Pathology:
- hymen without an opening completely obstructs the vagina
Clinical manifestations:
- monthly lower abdominal pain & abdominal cramping (symptoms of period)
- normal development of pubic hair & breasts
- normal secondary sexual characteristics
- amenorrhea
Differential diagnosis:
- congenital absence of uterus
- not associated with monthly abdominal cramping
- vaginal aplasia
- abnormal secondary sexual characteristics
- bicornate uterus or unicornate uterus
- not associated with amenorrhea
Management:
- hymenectomy
General
vaginal disorder
developmental disorder
References
- Wikipedia: Imperforate hymen
http://en.wikipedia.org/wiki/Imperforate_hymen