Imperforate hymen with hematocolpos

Case contributed by Mohammad Osama Hussein Yonso
Diagnosis certain

Presentation

Periodic lower abdominal pain.

Patient Data

Age: 14 years
Gender: Female
ultrasound

Vagina is ballooned and filled with fluid with homogenous coarse internal echoes- a characteristic presentation of hematocolpos.

Case Discussion

Ultrasound can detect hematocolpos, which is almost always associated with imperforate hymen at this age group. This case shows typical sonographic presentation of the case.

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