Spontaneous Rupture of the Imperforate Hymen in an Adolescent Girl with Hematocolpometra

Abstract

Background . Imperforate hymen is usually treated with hymenotomy, and the management after its spontaneous rupture is not very well known. Case . In this paper, we present spontaneous rupture of the imperforate hymen in a 13-year-old adolescent girl with hematocolpometra just before a planned hymenotomy operation. The patient was managed conservatively with a satisfactory outcome. Conclusion . Hymenotomy may not be needed in cases with spontaneous rupture of the imperforate hymen if adequate opening for menstrual discharge is warranted.