급성 뇨 폐색을 동반한 처녀막 폐쇄증 1례
A Case of Imperforate Hymen with Acute Urinary Retention
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초록
처녀막 폐쇄증은 0.1%의 빈도를 가지는 드문 여성질환으로 초경이 시작된 후 처녀막 폐쇄로 생리혈이 저류되면서 하복부 통증, 변비, 1차성 무월경, 드물게 배뇨곤란, 무뇨증의 증상을 보인다. 일반적으로 요 체류(urinary retention) 증상은 대개 정신적 원인, 약물에 의한 원인, 감염이나 선천성 기형 등에 의한 급성 요 폐색이 주된 원인이며 본 증례와 같이 처녀막 폐쇄로 요 폐색이 생기는 경우는 드물다. 저자들은 급성 요 체류 증상으로 내원하여 당시 급성 요 폐색이 의심되었으나 처녀막 폐쇄증으로 진단되었던 증례를 경험하였다. 자세한 병력 청취 및 외부 성기의 진찰이 오진과 치료의 지연을 막을 수 있다는 것을 다시 확인할 수 있었다.
Abstract
Imperforate hymen is, with an incidence of 0.1%, a rare female anomaly, which can appear with symptoms such as lower abdominal pain, primary amenorrhea, dysuria, anuria, caused by retention of menstrual blood after the onset of menstruation. Generally urinary retention is caused by psychological conditions, drug effect, infection or congenital anomaly causing acute urinary obstruction. We experienced a patient with symptoms of acute urinary retention, suggesting acute urinary obstruction. The cause for the retention turned out to be an imperforated hymen, which should therefore be mentioned in the literature as a possible cause in cases suspected of urinary retention.
참고문헌 (13)
- Johansen JK, "Imperforate hymen. A simple, but overlooked diagnosis", Ugeskr Laeger, 160, pp.5948~5949 (1998)
- Nazir Z, "Congenital vaginal obstructions Varied Presentation and outcome", Pediatr Surg Int, 22, pp.749~753 (2006)
- Wang W, "Imperforate Hymen presenting with chronic constipation and lumbago. report of one case", Acta Paediatr Taiwan, 45, pp.340~342 (2004)
- Shen CC, "Ectrodactyly ectodermal dysplasia-clefting syndrome with hematocolpometra presenting as acute urinary retention", Acta Obstet Gynel Scand, 81, pp.984~985 (2002)
- Posner JC, "Early detection of imperforate hymen prevents morbidity from delays in diagnosis", J Pediatrics, 115, pp.1008~1012 (2005)
- Parazzini F, "The frequency of imperforate hymen in Northern Italy", Int J Epidemiol, 15, pp.763~764 (1990)
- John MB, "Congenital malformation of the vagina and urethra, in Te Linde’s operative gynecology. 8th ed", pp.911~938 (1997), Lippincott-Raven
- David A, "Hydrometrocolpos and polydactyly. a common neonatal presentation of Bardet-Biedl and McKusick- Kaufman syndromes", Med Genet, 36, pp.599~603 (1999)
- Spencer R, "Hydrometrocolpos", Am J Obstet Gynecol, 85, pp.970~973 (1963)
- Jei-Wen Chang, "Acute Urinary retention as the presentation of Imperforate hymen", J Chin Med Assoc, 70, pp.559~561 (2007)
- Seyyed alaeddin Asagari, "Acute urinary retention in children", Journal of Urology, 2, pp.23~27 (2004)
- Yu TJ, "Acute urinary retention in two patients with imperforate hymen", Scand J Urol Nephrol, 27, pp.543~544 (1993)
- Nussbaum A, "Obstructed Uterovaginal anomalies, demonstration with sonography", J Radiology, 179, pp.84~88 (1991)