<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412021000400008</article-id>
<article-id pub-id-type="doi">10.24245/gom.v89i4.4578</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Retención urinaria aguda como indicio clínico del himen imperforado en una adolescente]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute urinary retention as a clinical debut of imperforate hymen in adolescence]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calderón-Cabrera]]></surname>
<given-names><![CDATA[Ana María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chimenea-Toscano]]></surname>
<given-names><![CDATA[Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Virgen del Rocío Unidad de Ginecología y Patología Mamaria ]]></institution>
<addr-line><![CDATA[Sevilla ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Virgen del Rocío Unidad de Medicina Materno fetal, Genética y Reproducción ]]></institution>
<addr-line><![CDATA[Sevilla ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>89</volume>
<numero>4</numero>
<fpage>330</fpage>
<lpage>335</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412021000400008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412021000400008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412021000400008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES:  La imperforación del himen es una anomalía congénita excepcional debida a una falla en la canalización del seno urogenital. Suele manifestarse después de la pubertad con amenorrea primaria, dolor cíclico y distensión abdominal; la retención aguda de orina es una forma infrecuente de indicio que puede derivar en falta de tratamiento adecuado, en complicaciones graves e, incluso, insuficiencia renal aguda.  OBJETIVO:  Reportar un caso de retención aguda de orina en una adolescente de 12 años originado por hematocolpos secundario a la imperforación de himen.  CASO CLÍNICO:  Paciente de 12 años, llevada a Urgencias debido a un dolor abdominal y molestias genitales acompañadas de anuria de al menos 12 horas de evolución. A la exploración se identificó un globo vesical palpable e himen imperforado, de aspecto azulado y abombado. En la ecografía se confirmó un hematocolpos de 130 x 89 mm y hematometra de 38 x 10 mm. Se efectuó un sondaje urinario y se procedió a la himenotomía en cruz, con desaparición completa del cuadro y restablecimiento de la función vesico-uretral.  CONCLUSIÓN:  El diagnóstico y tratamiento quirúrgico temprano de la imperforación himeneal permiten evitar complicaciones uroginecológicas a mediano y largo plazo. El hematocolpos obstructivo ha de tenerse en cuenta como una de las primeras posibilidades diagnósticas ante un cuadro de dolor abdominal cíclico y retención urinaria en adolescentes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND:  Imperforate hymen constitutes an unusual congenital anomaly, due to a failure in the canalization of the urogenital sinus. This entity usually manifests after puberty as primary amenorrhea, cyclical abdominal pain, and abdominal distension. Retention of urine is an infrequent form of debut, which can lead to a compromise in bladder function and subsequent kidney damage.  OBJECTIVE:  To report a case of acute urinary retention in a 12-year-old girl caused by the presence of hematocolpos secondary to imperforate hymen.  CLINICAL CASE:  A 12-year-old premenarchal female presented with abdominal pain and genital discomfort, accompanied by anuria of at least 12 hours of evolution. Physical examination revealed a palpable distended bladder and an imperforate hymen with a bluish and bulging appearance. Ultrasound examination revealed the presence of a 130x89 mm hematocolpos and a 38x10 mm hematometra. After urinary catheterization, a stellate hymenotomy was performed with complete resolution of the condition and restoration of vesico-urethral function.  CONCLUSIONS:  Early diagnosis and surgical treatment have a key role in the prevention of medium and long term uro-gynecological complications. Obstructive hematocolpos must be considered as one of the first diagnostic possibilities when cyclical abdominal pain and urinary retention occurs in the pediatric patient.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Himen imperforado]]></kwd>
<kwd lng="es"><![CDATA[retención aguda de orina]]></kwd>
<kwd lng="es"><![CDATA[hematocolpos]]></kwd>
<kwd lng="es"><![CDATA[hematometra]]></kwd>
<kwd lng="es"><![CDATA[amenorrea]]></kwd>
<kwd lng="en"><![CDATA[Imperforate hymen]]></kwd>
<kwd lng="en"><![CDATA[Acute urinary retention]]></kwd>
<kwd lng="en"><![CDATA[Hematocolpos]]></kwd>
<kwd lng="en"><![CDATA[Hematometra]]></kwd>
<kwd lng="en"><![CDATA[Amenorrhea]]></kwd>
</kwd-group>
</article-meta>
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