Turkiye Klinikleri J Gynecol Obst 2010;20(6) 392 he hymen, a thin membrane, separates the lumen of the vagina from the cavity of the urogenital sinus until late fetal life. It is formed by the expansion of the caudal end of the vagina resulting in invagina- tion of the posterior wall of the urogenital sinus. The hymen usually dissol- ves during the perinatal period. 1 However, failure of the hymen to perforate completely in the perinatal period can result in varying anomalies inclu- ding imperforate, microperforate, cribriform, navicular, or septated hymen shape form. 2 Such anomalies are ideally recognized at birth as part of the newborn examination or seen in childhood as part of genital examinations. But it is usually discovered after the onset of menstruation due to symp- Spontaneous Re-Closure of Hymen During Pregnancy, Seventeen Years After Hymenotomy: Case Report ABSTRACT Im per fo ra te hymen is a ra re di sor der in which the hymen has no ope ning. It usu ally oc curs con ge ni tally, se con dary to fa i lu re of the hymen to per fo ra te comp le tely in the la te fe tal pe - ri od. Un til la te fe tal li fe, the lu men of the va gi na is se pa ra ted from the ca vity of uro ge ni tal si nus by a mem bra ne: the hymen. The hymen usu ally rup tu res du ring the pe ri na tal pe ri od and re ma ins as a thin fold of mu co us mem bra ne just wit hin the va gi nal ori fi ce. Se con dary clo su re of the hymen has be en re por ted in 3 wo men, two of which oc cur red sub se qu ent to sur gi cal pro ce du res that in - vol ved the hymen. We pre sent an in te res ting ca se of spon ta ne o us re-clo su re of hymen du ring preg - nancy af ter pre vi o us hyme no tomy. Im per fo ra te hymen is not only a con ge ni tally oc cur red di sor der, se con dary clo su re of the hymen af ter pre vi o us hyme nal sur gery or spon ta ne o usly was se en es pe ci - ally in preg nancy. Key Words: Preg nancy; hymen ÖZET İmper fo re hi men, hi me nin do ğal açık lı ğı nın ol ma dı ğı na dir bir bo zuk luk tur. Ge nel lik le kon - je ni tal ola rak, geç fe tal dö nem de hi me nin ola ğan per fo ras yo nu nun tam ger çek leş me me si so nu cun - da or ta ya çı kar. Geç fe tal dö ne me ka dar va ji na lü me ni, üro ge ni tal si nüs ka vi te sin den hi men de ni len mem bran ile ay rı lır. Hi men ge nel lik le pe ri na tal dö nem de rüp tü re olur ve va ji nal ori fis gi ri şin de in ce bir mu ko za kat lan tı sı ola rak ka lır. Hi me nin se kon der ka pan ma sı üç ka dın da bil di ril miş tir, bun - la rın iki si da ha ön ce hi men le il gi li cer ra hi mü da ha le ge çi ren ol gu lar dır. Biz ge çi ri len hime no to mi - den yıl lar son ra, ge be lik sı ra sın da hime nin ken di li ğin den ka pan dı ğı il ginç bir ol gu su na ca ğız. İmper fo re hi men sa de ce kon je ni tal olu şan bir bo zuk luk de ğil dir, hi me nin se kon der ka pan ma sı ön - ce den hi men cer ra hi si ge çi ren ler de ve ya spon tan ola rak da özel lik le ge be lik te gö rül mek te dir. Anahtar Kelimeler: Ge be lik; hi men, kız lık za rı Turkiye Klinikleri J Gynecol Obst 2010;20(6):392-4 Aysel DERBENT, MD, a Serap SİMAVLI, MD, a Nermin KÖŞÜŞ, MD, a Hasan KAFALI, MD a a Department of Gynecology and Obstetrics, Fatih University Faculty of Medicine, Ankara Geliş Tarihi/Received: 07.01.2010 Kabul Tarihi/Accepted: 16.02.2010 Yazışma Adresi/Correspondence: Aysel DERBENT, MD Fatih University Faculty of Medicine, Department of Gynecology and Obtetrics, Ankara, TÜRKİYE/TURKEY ayseluysal@hotmail.com Copyright © 2010 by Türkiye Klinikleri OLGU SUNUMU