PDF(Pubmed)
Abstract：
UNASSIGNED: Several schoolgirls attain reproductive age with undiagnosed gynaecological problems which pose challenges in their livelihood. These conditions include precocious puberty, congenital reproductive tract abnormalities, and delayed sexual development. Many children with these conditions face additional challenges including physical pain, psychological trauma and delayed diagnosis.
UNASSIGNED: A 14-year-old girl presented with acute on chronic pelvic pain and haematocolpometra due to imperforate hymen during COVID-19 pandemic. She has not undergone cultural virginity test in her community. The hymenal membrane was unusually non-bulging despite the haematocolpometra. A partial hymenotomy with a narrow margin of excision was performed.
UNASSIGNED: The hymenal orifice later obliterated and resulted in a repeat partial hymenectomy where a wide surgical margin of the hymen was excised.
UNASSIGNED: A wide rather than narrow partial hymenectomy prevents obliteration of the hymenal orifice after surgery for imperforate hymen. There is a need for timely interventions such as counselling and community awareness that prevent undue consequences of an imperforate hymen and its treatment including pain and possible inability to pass cultural virginity test in some African communities.
UNASSIGNED: A 14-year-old girl presented with acute on chronic pelvic pain and haematocolpometra due to imperforate hymen during COVID-19 pandemic. She has not undergone cultural virginity test in her community. The hymenal membrane was unusually non-bulging despite the haematocolpometra. A partial hymenotomy with a narrow margin of excision was performed.
UNASSIGNED: The hymenal orifice later obliterated and resulted in a repeat partial hymenectomy where a wide surgical margin of the hymen was excised.
UNASSIGNED: A wide rather than narrow partial hymenectomy prevents obliteration of the hymenal orifice after surgery for imperforate hymen. There is a need for timely interventions such as counselling and community awareness that prevent undue consequences of an imperforate hymen and its treatment including pain and possible inability to pass cultural virginity test in some African communities.
摘要：
■一些女学生达到生育年龄，患有未诊断的妇科问题，这给他们的生活带来了挑战。这些条件包括性早熟,先天性生殖道异常，推迟性发育。许多患有这些疾病的儿童面临额外的挑战，包括身体疼痛，心理创伤和延迟诊断。
■一名14岁女孩在COVID-19大流行期间因处女膜缺孔症而出现急性慢性盆腔疼痛和血肿。她没有在社区中接受过文化童贞测试。尽管有血球，但处女膜异常不凸出。进行了部分处女膜切开术，切缘狭窄。
■处女膜孔后来消失，并导致重复的部分处女膜切除术，其中处女膜的手术切缘较宽。
■宽而非窄的部分处女膜切除术可防止处女膜孔闭锁手术后闭塞。有必要采取及时的干预措施，例如咨询和社区意识，以防止处女膜缺孔及其治疗的不当后果，包括疼痛和可能无法通过一些非洲社区的文化童贞测试。
■一名14岁女孩在COVID-19大流行期间因处女膜缺孔症而出现急性慢性盆腔疼痛和血肿。她没有在社区中接受过文化童贞测试。尽管有血球，但处女膜异常不凸出。进行了部分处女膜切开术，切缘狭窄。
■处女膜孔后来消失，并导致重复的部分处女膜切除术，其中处女膜的手术切缘较宽。
■宽而非窄的部分处女膜切除术可防止处女膜孔闭锁手术后闭塞。有必要采取及时的干预措施，例如咨询和社区意识，以防止处女膜缺孔及其治疗的不当后果，包括疼痛和可能无法通过一些非洲社区的文化童贞测试。
