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Case Reports: Unusual association of diseases/symptoms
Evaluation of a microperforate hymen leading to the incidental diagnosis of a borderline ovarian tumour
  1. Mariam Ayyash1,
  2. Madison Miller1 and
  3. Miriana Hijaz2
  1. 1Department of Women’s Health, Obstetrics and Gynecology, Henry Ford Health System, Detroit, Michigan, USA
  2. 2Department of Women’s Health, Division of Gynecologic Oncology, Henry Ford Health System, Detroit, Michigan, USA
  1. Correspondence to Dr Mariam Ayyash; mayyash1{at}hfhs.org

Abstract

Microperforate hymens are rare anatomical variants with an unknown incidence and very few reported cases. Borderline ovarian tumours are similarly uncommon, with an incidence of approximately 0.002%–0.006%. The concurrent presence of a microperforate hymen and a borderline ovarian tumour is therefore exceedingly unique with no documented cases to date. In this report, we review the case of a nulliparous woman in her late 20s who initially presented with an inability to have penetrative intercourse. A subocclusive hymenal variant was noted on examination and further imaging work-up resulted in the incidental discovery of a large ovarian mass subsequently noted to be a borderline ovarian tumour. Herein, we review contemporary approaches to the diagnosis and management of both hymenal variants and borderline ovarian tumours, and discuss fertility-sparing strategies for young women diagnosed with ovarian neoplasms.

  • Cancer intervention
  • Obstetrics, gynaecology and fertility

https://doi.org/10.1136/bcr-2022-252017

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    Footnotes

    • Contributors MA, the corresponding author, cared for the patient and identified the case for publication. MA and MM drafted the case report. MH cared for the patient and provided revisions to the article for approval for publication.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.