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Friday, 1 January 2016

CASE 357: PELVIC MASS, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

Female  15 yo, pain at pelvis, no mentrial cycle.
Ultrasound of  pelvis   one  sonologist  suggested  ovarian tumor.

Review of  ultrasound:

US1:   cystic structure in pelvis, long 20cm, morphology like a  hourglass, upper portion  near  bifurcation of abdominal aorta.


US2:  cross-section..of the mass :  fluid and debris inside.


US3.  Cross- section,  the wall of the upper part  is thiskening.



US4 with linear  probe:  wall is   thickening  in comparison to  the lower part.


Ultrasound   report suggested  a  hematometriocolpos.
MRI of pelvis detected  this mass with  old blood  inside.



Diagnosis is  imperforated hymen  and  hematometriocolpos.
ObGyn doctor treated by  incision of hymen for drainage of this old blood.


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