Hematocolpos

Changed by Mohamed Saber, 9 Dec 2023

Back to revision history

Disclosures - updated 17 Apr 2023: Nothing to disclose

Updates to Article Attributes

Body was changed:

Show markup changes

Haematocolpos is a term given to a blood-filled dilated vagina due to menstrual blood in the setting of an anatomical obstruction, usually an imperforate hymen. When there is concurrent uterine distention, the term haematometrocolpos is used.

Clinical presentation

Patients may present with amenorrhoea or vague abdominal pain.

Pathology

Causes

imperforate hymen: the most frequent cause
transverse vaginal septum

vaginal stenosis

Radiographic features

Ultrasound

Typically shows a fluid distended hypoechogenic mass along the extent of the vagina but not involving the uterus.

Image 9 MRI (T2) ( create )

Caption was added:

Case 7: congenital vaginal stenosis

Position was set to 9.

ADVERTISEMENT: Supporters see fewer/no ads

{"current_user":null,"inclusions":[{"imageId":23968,"studyId":7514,"caseSlug":"haematocolpos-and-imperforate-hymen","caption":"Case 1: secondary to imperforate hymen","thumbnail":"https://prod-images-static.radiopaedia.org/images/23968/6613ca146b822016309c24e0bbfb3f_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"probable"},{"imageId":2086666,"studyId":18224,"caseSlug":"haematocolpos","caption":"Case 2","thumbnail":"https://prod-images-static.radiopaedia.org/images/2086666/c320c50a6f1c0e381eafe0f2a48c032404df649e191dc9f3d2b484424e66cce3_big_gallery.jpeg","isStack":true,"diagnosticCertainty":"probable"},{"imageId":52432411,"studyId":20256,"caseSlug":"imperforate-hymen-with-haematocolpos","caption":"Case 3: imperforate hymen","thumbnail":"https://prod-images-static.radiopaedia.org/images/52432411/2e0459b2a969401113927128a3b202_big_gallery.jpeg","isStack":true,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":4617187,"studyId":24949,"caseSlug":"bicornuate-uterus-6","caption":"Case 4: in the left side of a bicornate uterus","thumbnail":"https://prod-images-static.radiopaedia.org/images/4617187/aeddaa2291e4b5814eb14eed9a9aca_big_gallery.jpg","isStack":true,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":40471822,"studyId":69313,"caseSlug":"haematocolpos-4","caption":"Case 5","thumbnail":"https://prod-images-static.radiopaedia.org/images/40471822/db4463406e56da2336aa4c75b5dd98_big_gallery.jpeg","isStack":true,"diagnosticCertainty":"confirmed_unsubstantiated"},{"imageId":60962530,"studyId":131439,"caseSlug":"hematocolpos-5","caption":"Case 6","thumbnail":"https://prod-images-static.radiopaedia.org/images/60962530/54724b3a7ee793ed1bc418ad8b0f281b426a1e7a13b2824a222043fa03526820_big_gallery.jpeg","isStack":true,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":63765429,"studyId":142730,"caseSlug":"haematocolpos-lower-vaginal-stenosis","caption":"Case 7: congenital vaginal stenosis","thumbnail":"https://prod-images-static.radiopaedia.org/images/63765429/e34e28a8cb35627eb2e50678e1bd4daa1b46ece09827cbcd3fddfa455e5ad4b5_big_gallery.jpeg","isStack":true,"diagnosticCertainty":"confirmed_unsubstantiated"}],"ddx_inclusions":[{"imageId":23346,"studyId":7374,"caseSlug":"hydrocolpos-1","caption":"Hydrocolpos","thumbnail":"https://prod-images-static.radiopaedia.org/images/23346/0cb26708164651167f0f70cc4550b4_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_unsubstantiated"},{"imageId":34329026,"studyId":63924,"caseSlug":"vaginal-gel-for-mri","caption":"Vaginal gel for MRI","thumbnail":"https://prod-images-static.radiopaedia.org/images/34329026/bf447266f160d3413a249f3c3509be_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"not_applicable"}],"lang":"us"}