Perimenopausal amenorrhea with cervical atresia and hematotrachelos

Yi Hsin Lin, Fung W. Chang, Chi Huang Chen

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Obstruction of the lower female genital tract leading to proximal dilatation and development of hematotrachelos is most commonly a result of congenital abnormalities such as an imperforate hymen, a complete transverse vaginal septum, or rarely, cervical atresia. Acquired hematotrachelos is rare, and the possible etiology includes iatrogenic trauma to the uterocervix such as cervical surgery, dilation and curettage, obstetric laceration, cervical or endometrial carcinoma, and radiation therapy. We report an unusual case of a patient in who spontaneously acquired hematotrachelos developed in the perimenopausal period. Combined speculum inspection of the cervix and recognition of transvaginal echographic features assisted the diagnosis. In addition, we tried a new treatment method, using the firm plastic end of an Ipas Karman cannula (6 mm diameter and 6 cm length) with nylon fixation retained for 1 month that resulted in a patent cervical canal.

Original languageEnglish
Pages (from-to)173-176
Number of pages4
JournalJournal of Medical Sciences (Taiwan)
Volume30
Issue number4
Publication statusPublished - 2010
Externally publishedYes

Fingerprint

Amenorrhea
Dilatation
Curettage
Lacerations
Nylons
Endometrial Neoplasms
Surgical Instruments
Cervix Uteri
Plastics
Obstetrics
Radiotherapy
Wounds and Injuries
Therapeutics
Imperforate Hymen
Cannula

Keywords

  • Hematotrachelos
  • Perimenopause
  • Secondary amenorrhea

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Perimenopausal amenorrhea with cervical atresia and hematotrachelos. / Lin, Yi Hsin; Chang, Fung W.; Chen, Chi Huang.

In: Journal of Medical Sciences (Taiwan), Vol. 30, No. 4, 2010, p. 173-176.

Research output: Contribution to journalArticle

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