Resumen

SANTALHA, Marta; FONTE, Miguel; CORREIA, Filipa  y  FERREIRA, Cristina. A rare case of acute urinary retention. Nascer e Crescer [online]. 2010, vol.19, n.3, pp.149-151. ISSN 0872-0754.

Introduction: Acute urinary retention is uncommon in childhood, and it can be congenital or secondary to traumatic, inflammatory, surgical, neurological or mechanical processes, drug-induced or psychogenic. Case report: We report a clinical case of a thirteen year old girl with hypogastric pain, urinary retention and constipation. On physical examination a rounded hipogastric mass was palpable. An abdominal X-ray revealed a radiopaque image in the lower third of the abdomen and the abdominal-pelvic ultrasonography revealed an impure content suggesting hematocolpos and hematometra. A surgical incision of the hymen was performed, with favorable outcome. Conclusion: A careful inspection of the external genitalia immediately after birth is essential for the diagnosis of imperforated hymen. When not detected and treated in the neonatal period, most of them have a delayed diagnosis during puberty when complications may occur.

Palabras clave : Hematocolpos; hemato­metra; urinary retention.

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