Case contributed by Dr Kewal Arunkumar Mistry


Lower abdominal pain with palpable pelvic mass. No history of prior menstruation.

Patient Data

Age: 13 years
Gender: Female

Vaginal canal is grossly distended with fluid showing low level internal echoes. Uterus is normal in size however it is pushed anterosuperiorly and shows fluid in endometrial cavity. Findings are consistent with gross hematocolpos with hematometra.

On examination imperforate hymen was found.


Postoperative ultrasound shows collapsed vaginal canal with marked wall thickening and presence of air foci within it.

Case Discussion

On examination tense bluish membrane was present at introitus suggestive of imperforate hymen. Hymen was incised and approximately 500 ml of sanguineous fluid was removed.  

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Case information

rID: 35073
Published: 20th Mar 2015
Last edited: 14th Aug 2019
System: Gynaecology
Inclusion in quiz mode: Included

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