Hematocolpos

Case contributed by Dalia Ibrahim
Diagnosis almost certain

Presentation

Delayed menarche.

Patient Data

Age: 15 years
Gender: Female
mri

Blood signal contents markedly distend the vagina that extends inferiorly to the level of the perineum, suggesting hematocolpos. It compresses the urinary bladder anteriorly and the rectum posteriorly and elevates the uterus.

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