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Imperforate hymen

MedGen UID:
57775
Concept ID:
C0152436
Congenital Abnormality
Synonym: Hymen, Imperforate
SNOMED CT: Imperforate hymen (65937002)
 
HPO: HP:0030011
Monarch Initiative: MONDO:0009375
OMIM®: 237100

Definition

A congenital disorder where the hymen (a membrane that surrounds or partially covers the external vaginal opening) does not have an opening and completely obstructs the vagina. [from HPO]

Conditions with this feature

Ulnar-mammary syndrome
MedGen UID:
357886
Concept ID:
C1866994
Disease or Syndrome
Ulnar-mammary syndrome (UMS) is an autosomal dominant disorder characterized by posterior limb deficiencies or duplications, apocrine/mammary gland hypoplasia and/or dysfunction, abnormal dentition, delayed puberty in males, and genital anomalies (Bamshad et al., 1996).
Adams-Oliver syndrome 1
MedGen UID:
1635567
Concept ID:
C4551482
Disease or Syndrome
Adams-Oliver syndrome (AOS) is characterized by aplasia cutis congenita (ACC) of the scalp and terminal transverse limb defects (TTLD). ACC lesions usually occur in the midline of the parietal or occipital regions, but can also occur on the abdomen or limbs. At birth, an ACC lesion may already have the appearance of a healed scar. ACC lesions less than 5 cm often involve only the skin and almost always heal over a period of months; larger lesions are more likely to involve the skull and possibly the dura, and are at greater risk for complications, which can include infection, hemorrhage, or thrombosis, and can result in death. The limb defects range from mild (unilateral or bilateral short distal phalanges) to severe (complete absence of all toes or fingers, feet or hands, or more, often resembling an amputation). The lower extremities are almost always more severely affected than the upper extremities. Additional major features frequently include cardiovascular malformations/dysfunction (23%), brain anomalies, and less frequently renal, liver, and eye anomalies.
Neurodevelopmental-craniofacial syndrome with variable renal and cardiac abnormalities
MedGen UID:
1794194
Concept ID:
C5561984
Disease or Syndrome
Neurodevelopmental-craniofacial syndrome with variable renal and cardiac abnormalities (NECRC) is an autosomal dominant disorder characterized by dysmorphic craniofacial features associated with mild developmental delay, mildly impaired intellectual development or learning difficulties, speech delay, and behavioral abnormalities. About half of patients have congenital anomalies of the kidney and urinary tract (CAKUT) and/or congenital cardiac defects, including septal defects (Connaughton et al., 2020).

Professional guidelines

PubMed

Hamouie A, Dietrich JE
Clin Obstet Gynecol 2022 Dec 1;65(4):699-707. Epub 2022 Mar 11 doi: 10.1097/GRF.0000000000000703. PMID: 36260009
Khanna K, Sharma S, Gupta DK
Pediatr Surg Int 2018 Mar;34(3):249-261. Epub 2017 Nov 24 doi: 10.1007/s00383-017-4218-9. PMID: 29177625
Master-Hunter T, Heiman DL
Am Fam Physician 2006 Apr 15;73(8):1374-82. PMID: 16669559

Recent clinical studies

Etiology

Lazanyi M, Grover SR
J Paediatr Child Health 2020 Jan;56(1):90-93. Epub 2019 May 29 doi: 10.1111/jpc.14501. PMID: 31144364
Grimstad F, Strickland J, Dowlut-McElroy T
J Pediatr Adolesc Gynecol 2019 Aug;32(4):429-431. Epub 2019 Apr 25 doi: 10.1016/j.jpag.2019.04.003. PMID: 31029601
Cetin C, Soysal C, Khatib G, Urunsak IF, Cetin T
J Obstet Gynaecol Res 2016 Aug;42(8):1013-5. Epub 2016 Apr 20 doi: 10.1111/jog.13010. PMID: 27094100
Lakhi N, Dun EC, Nezhat CH
Fertil Steril 2014 Jun;101(6):e37. Epub 2014 Mar 26 doi: 10.1016/j.fertnstert.2014.02.049. PMID: 24680366
Basaran M, Usal D, Aydemir C
J Pediatr Adolesc Gynecol 2009 Aug;22(4):e61-4. doi: 10.1016/j.jpag.2008.03.009. PMID: 19646660

Diagnosis

Grant A, Carpenter CP, Li B, Kim SJ
Curr Urol Rep 2023 Dec;24(12):601-610. Epub 2023 Dec 1 doi: 10.1007/s11934-023-01191-4. PMID: 38038828
Hamouie A, Dietrich JE
Clin Obstet Gynecol 2022 Dec 1;65(4):699-707. Epub 2022 Mar 11 doi: 10.1097/GRF.0000000000000703. PMID: 36260009
Tanitame K, Tanitame N, Urayama S, Ohtsu K
Jpn J Radiol 2021 Aug;39(8):733-740. Epub 2021 Apr 11 doi: 10.1007/s11604-021-01115-7. PMID: 33840015Free PMC Article
Khanna K, Sharma S, Gupta DK
Pediatr Surg Int 2018 Mar;34(3):249-261. Epub 2017 Nov 24 doi: 10.1007/s00383-017-4218-9. PMID: 29177625
Dietrich JE, Millar DM, Quint EH
J Pediatr Adolesc Gynecol 2014 Dec;27(6):396-402. Epub 2014 Sep 11 doi: 10.1016/j.jpag.2014.09.001. PMID: 25438708

Therapy

Wang L, Chen L, Li D, Wang B, Yang Z
BMC Pregnancy Childbirth 2022 May 12;22(1):405. doi: 10.1186/s12884-022-04715-x. PMID: 35549889Free PMC Article
Darwish AM
Sultan Qaboos Univ Med J 2021 Feb;21(1):e110-e115. Epub 2021 Mar 15 doi: 10.18295/squmj.2021.21.01.015. PMID: 33777431Free PMC Article
Amitai E, Lior Y, Sheiner E, Saphier O, Leron E, Silberstein T
J Matern Fetal Neonatal Med 2020 Apr;33(8):1400-1404. Epub 2018 Sep 25 doi: 10.1080/14767058.2018.1519539. PMID: 30173591
Wong JWH, Siarezi S
J Pediatr Adolesc Gynecol 2019 Aug;32(4):432-435. Epub 2019 Apr 9 doi: 10.1016/j.jpag.2019.04.002. PMID: 30974214
Ali A, Cetin C, Nedim C, Kazim G, Cemalettin A
Eur J Obstet Gynecol Reprod Biol 2003 Jan 10;106(1):72-5. doi: 10.1016/s0301-2115(02)00214-2. PMID: 12475586

Prognosis

Wang L, Chen L, Li D, Wang B, Yang Z
BMC Pregnancy Childbirth 2022 May 12;22(1):405. doi: 10.1186/s12884-022-04715-x. PMID: 35549889Free PMC Article
Zhang M, Zhang MX, Li GL, Xu CJ
J Huazhong Univ Sci Technolog Med Sci 2017 Dec;37(6):928-932. Epub 2017 Dec 21 doi: 10.1007/s11596-017-1829-2. PMID: 29270755
Ural ÜM, Tekın YB, Kir Şahın F, Erdıvanli B, Kazdal H
Gynecol Obstet Invest 2015;79(1):69-72. Epub 2014 Sep 4 doi: 10.1159/000365330. PMID: 25196531
Liang CC, Chang SD, Soong YK
Arch Gynecol Obstet 2003 Nov;269(1):5-8. Epub 2002 Oct 2 doi: 10.1007/s00404-002-0423-3. PMID: 14605815
Iuchtman M, Assa J, Blatnoi I, Ezagui L, Simon J
J Urol 1980 Aug;124(2):283-5. doi: 10.1016/s0022-5347(17)55410-5. PMID: 7401250

Clinical prediction guides

Wang L, Chen L, Li D, Wang B, Yang Z
BMC Pregnancy Childbirth 2022 May 12;22(1):405. doi: 10.1186/s12884-022-04715-x. PMID: 35549889Free PMC Article
Darwish AM
Sultan Qaboos Univ Med J 2021 Feb;21(1):e110-e115. Epub 2021 Mar 15 doi: 10.18295/squmj.2021.21.01.015. PMID: 33777431Free PMC Article
Lazanyi M, Grover SR
J Paediatr Child Health 2020 Jan;56(1):90-93. Epub 2019 May 29 doi: 10.1111/jpc.14501. PMID: 31144364
Pavone P, Cho SY, Praticò AD, Falsaperla R, Ruggieri M, Jin DK
Medicine (Baltimore) 2018 Sep;97(36):e12124. doi: 10.1097/MD.0000000000012124. PMID: 30200099Free PMC Article
Cetin C, Soysal C, Khatib G, Urunsak IF, Cetin T
J Obstet Gynaecol Res 2016 Aug;42(8):1013-5. Epub 2016 Apr 20 doi: 10.1111/jog.13010. PMID: 27094100

Recent systematic reviews

Marino G, Alfieri N, Tessitore IV, Barba M, Manodoro S, Frigerio M
Int Urogynecol J 2023 Feb;34(2):357-369. Epub 2022 Jun 17 doi: 10.1007/s00192-022-05270-x. PMID: 35713674
Dietrich JE, Millar DM, Quint EH
J Pediatr Adolesc Gynecol 2014 Dec;27(6):396-402. Epub 2014 Sep 11 doi: 10.1016/j.jpag.2014.09.001. PMID: 25438708

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