An 11-year-old girl was admitted to Children's Hospital 2 in Ho Chi Minh City with pain in the lower abdomen for more than two months, with almost all of her urination in two days, a tight abdomen and constipation.
Immediately upon admission, the doctors performed an emergency dialysis and recorded a remaining urine in the patient's bladder of up to 1.5 liters, an unusual number in children. Through clinical examination, the baby was determined to have signs of maturity but had never had a period.
Examining the external genitals, the doctor discovered that the province's province was not perforated, swollen, and had an abnormally purple color. The ultrasound results showed that the vaginal and uterus dilated largely due to stagnant menstrual blood, forming a compressed area of the bladder and urethra. Notably, the left kidney has begun to dilate, showing an affect to the urinary system.
Doctors quickly performed surgery to remove the province's yester to release the stagnant blood clot. After the intervention, the pressure on the bladder and kidneys was significantly reduced, the patient had no abdominal pain, the urinary tract returned to normal, and the kidney dilation was no longer there. After 23 days of surgery, the child had her first period.
According to Associate Professor, Dr. Pham Ngoc Thach - Deputy Director of Children's Hospital 2, the girl's impetigo is the most common birth defect in the group of vaginal obstruction but is easily missed. Menstrual blood is still produced regularly but does not escape, stagnates and increases over time. Only when complications are severe are children taken for examination, said Dr. Thach.
Each year, Children's Hospital 2 records nearly 10 similar cases, most of which are detected in adolescence and have experienced complications. If diagnosed late, the disease can cause kidney damage, infection, orotropic inflammation due to stunting and affecting future fertility.
Doctors recommend that parents need to pay attention to and closely monitor changes in girls in their teenage years, especially when they are teenagers but have not had menstrual periods after 1415, lower abdominal pain recurring cyclosing, urination, prolonged constipation of unknown cause or appearance of abnormal bulbs in the external genitals, to promptly take the child for examination and treatment.
