A haematometrium refers to a uterus filled with blood. I had the procedure scheduled and had all the preop blood work done and the endometrial biopsy first. Hematocolpos is a term given to a bloodfilled dilated vagina due to menstrual blood in the setting of an anatomical obstruction, usually an imperforate hymen. Medications are generally used first including antiinflammatories including ibuprofennaproxen, but generally hormone therapy is. Hematometra resulting from partial or complete obstruction of lower genital tract may be congenital or acquired. I had an ultrasound and there was a 2cm hemorrhagic cystic structure found in my uterus not ovarian cyst. Approximately 1% to 2% of women who undergo operative hysteroscopy. Suspected hematometra possible by comparing history with complaints of sudden cessation of blood discharge after intrauterine intervention, a feeling of heaviness and cramping in the abdomen.
Hematometra medical definition merriamwebster medical. We describe the case of an adolescent girl with agenesis of the upper twothirds of the. I am wondering if this is actually a hematometra and radiologist who read ultrasound report just doesnt know how to identify it as this is not a commonly seen issue. Hematometra article about hematometra by the free dictionary. Hematometry definition of hematometry by medical dictionary.
It is not definitive but can identify cysts associated with endometriosis, uterine tissue growing outside the uterus. My dr only did ablation sunder general it was at the last appointment before the procedure that he went over the risks. Partial mullerian agenesis presenting as hematometra and. Hematometra causes, symptoms, diagnosis and treatment. Hematometra definition of hematometra by medical dictionary. Vaginoplasty was performed in the same sitting to drain peritoneal cavity and for coital function. Premenopausal women with hematometra often experience abnormal vaginal bleeding, including dysmenorrhea pain during menstruation or amenorrhea lack of menstruation, while. When there is concurrent uterine distention, the term hematometrocolpos is used. Hematometra and hematocolpos, secondary to cervical.
You may not embed one of our images on your web page without a link back to our site. Acquired causes are senile atrophy of endocervical canal, scarring of the isthmus by synechiae, radiation and endocervical malignancy or due to surgical. Hematometra and hematosalpinx occurred in some more severely affected patients, as well as bleeding in the periadnexal and peritoneal space. If you would like a large, unwatermarked image for your web page or blog, please purchase the appropriate license. Hematometra in uterus didelphys with right hemivagina and. Hematometra is an infrequent late complication of operative hysteroscopy. Information and translations of hematometra in the most comprehensive dictionary definitions resource on the web. Patients may also report urinary frequency and urinary retention. Case report endometrial carcinoma presenting as hematometra mimicking a large pelvic cyst mingping wu, md,1,2 chungchieng wu, md,3 fongming chang, md, phd,4 ernest y. Hematometra problems with blood evacuation of the uterus, leading to its accumulation in the body. It is a rare condition that is most commonly associated with congenital anomalies or prior surgical procedures causing an obstruction of the genitourinary outflow tract. If cyclic or chronic lower pelvic pain occurs after surgery in menstruating women or among women taking hormone replacement therapy, scarring or narrowing of the endometrial cavity may be the cause. Hematometra is an accumulation of blood within the uterus. Hematometra is a pathologic collection of blood in the uterus.
Hematometra e hiperplasia endometrial quistica en una perra. Reprinted in the ivis website with the permission of the sevc. New classification of herlynwernerwunderlich syndrome hematometra associated with ps eudocyesis and uterine torsion in a dog. We performed extirpative operation to save the life of patient. Recurrent hematometra and hematocolpos due to cervical. Hematometra typically presents as cyclic, cramping pain in the midline of the pelvis or lower abdomen. Hematometra is a medical condition involving collection or retention of blood in the uterus. Editor tools create a new page become an editor editors help menu create a page edit a page upload a picture or file printable version maintain pages what pages link here quality improvement. Hematometra formation a rare complication of cesarean.
Hematometra in uterus didelphys with right hemivagina and right renal agenesis article pdf available in journal of obstetrics and gynecology of india 612. Hematometra is a clinical term describing an accumulation of blood in the uterus. A rare case of mullerian agenesis presented with acute abdomen. Commonest congenital causes are imperforate hymen and transverse vaginal septum. Uterovaginal malformations uvm are due to an alteration in the process of.
The ablation is promoted as being a simple procedure that can be done in one day and then all your problems are cured. Gomez arzapalo e, perez mendizabal a, herrera avalos i, et al. It is most commonly caused by an imperforate hymen or a transverse. Transvaginal ultrasonography of a hematometra after childbirth, seen as a hypoechoic darker area within the uterine cavity. So they did not see the hematometra on the ultrasound.
There can be a number of potential causes for this condition and treatment is dependent on finding the source of the blood. It is most commonly caused by an imperforate hymen or a transverse vaginal septum. It may develop after birth, abortion, intrauterine interventions. Patients may notice a hematometra in the form of abnormal uterine bleeding or spotting.