Hematocolpos refers to blood accumulation in which location?

Hematocolpos refers to blood accumulation in which location?

• A. Vagina
• B. Uterus
• C. Cervix
• D. Fallopian Tube

Answer: (A)

Hematocolpos is the accumulation of blood in the vaginal canal, usually due to an outflow obstruction such as an imperforate hymen. This condition typically presents in pubertal girls with primary amenorrhea and cyclic pelvic pain, and ultrasound shows a distended vagina filled with blood (which may appear echoic if clots are present). The uterus is not filled with blood in this scenario; if the obstruction were higher, blood would collect in the uterus (hematometra) or both uterus and vagina (hematometrocolpos). Blood in the fallopian tubes would be hematosalpinx, a different finding.

Hematocolpos is the accumulation of blood in the vaginal canal, usually due to an outflow obstruction such as an imperforate hymen. This condition typically presents in pubertal girls with primary amenorrhea and cyclic pelvic pain, and ultrasound shows a distended vagina filled with blood (which may appear echoic if clots are present). The uterus is not filled with blood in this scenario; if the obstruction were higher, blood would collect in the uterus (hematometra) or both uterus and vagina (hematometrocolpos). Blood in the fallopian tubes would be hematosalpinx, a different finding.