Imperforate hymen causing congenital hydrometrocolpos

Congenital imperforate hymen.

To cite: Laghzaoui O. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016215124 DESCRIPTION A 16-year-old girl was referred to our gynaecology service, reporting of cyclic pelvic pain and primary amenorrhoea. The medical history had begun 4 years earlier with pelvic pain getting worse over time, disturbing her studies. Physical examination revealed a mass of 14 w...

Imperforate Hymen with Hematocolpometra

The presence of both a uterovaginal septum and imperforate hymen is described in a young patient presenting with ongoing chronic pelvic pain and a double pyocolpos. Ultrasound and magnetic resonance imaging scans were performed. The patient underwent laparoscopic adesiolysis, hymenotomy with drainage of 200 mL of pus, and excision of a complete longitudinal vaginal septum. Over the past 5 years...

Imperforate hymen: congenital or acquired from sexual abuse?

Imperforate hymen diagnosed beyond the newborn period may present a dilemma for the physician. Three case studies are reviewed in which children with the diagnoses of imperforate hymen presented for evaluation of suspected sexual abuse. Clear descriptions of genital anatomy documented at well-child visits may be critical to later interpretations of findings encountered during examinations for s...

A Case of Imperforate Hymen

Hematocolpos secondary to imperforate hymen

A previously healthy 12-year-old female was sent to the Emergency Department by her pediatrician for workup of severe suprapubic abdominal pain radiating to her lower back. She reported having waxing and waning pain for 1 month that had awoken her from sleep the previous evening. The patient denied nausea, vomiting, and diarrhea, but reported mild urinary retention. Per history she was premenar...