Hematocolpos

Case contributed by Abdel-Rahman Abdel-Halim
Diagnosis almost certain

Presentation

Acute urinary retention.

Patient Data

Age: 12 years
Gender: Female
ct

The vagina is seen markedly distended with fluid. It is seen elevating the uterus, displacing the rectum posteriorly and the urinary bladder anteriorly. 

A urinary catheter is seen within the urinary bladder. Intravesical (post-instrumentation) gas is seen.

Case Discussion

Marked hematometrocolpos due to an imperforate hymen.

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