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- Title
A case of image-guided hematometrocolpos drainage requiring tissue plasminogen activator in a pediatric patient.
- Authors
Sharma, Pareena; Shah, Jay; Sokkary, Nancy
- Abstract
Hematometrocolpos (HMC) is a rare disorder that occurs when an anatomical anomaly like imperforate hymen causes menstrual blood to be retained in the uterus and vagina. There is no standard of care established for HMC beyond urgent vaginoplasty which requires a demanding post-operative course that may not be suited for all pediatric patients. This is a case report of successful use of image-guided percutaneous drainage of HMC with tissue plasminogen activator (TPA) followed by vaginoplasty in a 13-year-old female with lower vaginal atresia. Additionally, this case explores the role of menstrual suppression and the need for individualized guidelines. It emphasizes the potential of image-guided percutaneous drainage with TPA as a promising, less-invasive treatment option for pediatric HMC as well as the impact on follow-up surgery.
- Subjects
TISSUE plasminogen activator; CHILD patients; MENSTRUATION disorders; VAGINOPLASTY
- Publication
Journal of Surgical Case Reports, 2024, Vol 2024, Issue 2, p1
- ISSN
2042-8812
- Publication type
Case Study
- DOI
10.1093/jscr/rjae006