Lower abdominal distension and pain
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The vagina is seen elongated and distended with high signal intensity on T1 weighted images (WIs), low signal on T2 WIs and fat-saturated T1 images shows high signal (no signal suppression) indicating blood. The vagina is displacing the uterus upwards. The endometrial cavity shows a minimal amount of fluid, especially in its lower segment.
Vertically elongated fluid-filled vaginal cavity with enhancing walls on contrast images (not available in this case) displacing the uterus, urinary bladder, and rectum. The endometrial cavity shows a minimal amount of fluid especially in the lower segment denoting haematometrocolpos most likely due to an imperforate hymen.
Causes of haematometrocolpos include: