<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1646-5830</journal-id>
<journal-title><![CDATA[Acta Obstétrica e Ginecológica Portuguesa]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Obstet Ginecol Port]]></abbrev-journal-title>
<issn>1646-5830</issn>
<publisher>
<publisher-name><![CDATA[Euromédice, Edições Médicas Lda.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1646-58302024000400314</article-id>
<article-id pub-id-type="doi">10.69729/aogp.v18i4a07</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Voluminous hematometra and cervical stenosis treated with office hysteroscopy]]></article-title>
<article-title xml:lang="pt"><![CDATA[Hematometra volumoso e estenose cervical tratados com histeroscopia de consultório]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinho]]></surname>
<given-names><![CDATA[António de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Estevinho]]></surname>
<given-names><![CDATA[Catarina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidade Local de Saúde Tâmega e Sousa Serviço de Ginecologia e Obstetrícia ]]></institution>
<addr-line><![CDATA[Penafiel ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade do Porto Faculdade de Medicina Departamento de Ginecologia-Obstetrícia e Pediatria]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>18</volume>
<numero>4</numero>
<fpage>314</fpage>
<lpage>315</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S1646-58302024000400314&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S1646-58302024000400314&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S1646-58302024000400314&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract A postmenopausal patient referred due to stress urinary incontinence presented with severe atrophy of the upper third of the vagina and an enlarged uterus. A voluminous hematometra and cervical dilation were detected and further characterized by MRI. The patient underwent an office hysteroscopy using a vaginoscopic approach without anestesia. The stenosis was resolved using 5Fr scissors, and one liter of old blood was evacuated. This minimally invasive procedure represents the gold standard in these settings, allowing for direct visualization and overcoming stenosis while minimizing the risk of injury.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo Numa doente pós-menopáusica, referenciada por incontinência urinária de esforço, foi verificada a existência de atrofia grave do terço superior da vagina e um útero de dimensões aumentadas. Foi detectado um hematometra volumoso, associado a dilatação cervical, que foram caracterizados por ressonância magnética. A doente foi submetida a histeroscopia de consultório, utilizando abordagem vaginoscópica sem anestesia. A estenose foi resolvida com tesoura histeroscópica de 5Fr e um litro de conteúdo hemático foi drenado. Este procedimento minimamente invasivo representa o goldstandard neste contexto clínico, permitindo a visualização direta e a resolução da estenose, minimizando o risco de lesões.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Acquired stenosis]]></kwd>
<kwd lng="en"><![CDATA[Hematometra]]></kwd>
<kwd lng="en"><![CDATA[Hysteroscopy]]></kwd>
<kwd lng="en"><![CDATA[Postmenopausal]]></kwd>
<kwd lng="en"><![CDATA[Vaginoscopic approach.]]></kwd>
<kwd lng="pt"><![CDATA[Abordagem vaginoscópica]]></kwd>
<kwd lng="pt"><![CDATA[Estenose adquirida]]></kwd>
<kwd lng="pt"><![CDATA[Hematometra]]></kwd>
<kwd lng="pt"><![CDATA[Histeroscopia]]></kwd>
<kwd lng="pt"><![CDATA[Pós-menopausa.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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</article>
