Case contributed by Dr Rania Adel Anan


Severe pelvic pain with a history of absent menarche.

Patient Data

Age: 15 years
Gender: Female

Enlarged uterus with distended endometrial cavity containing fluid and heterogeneously echogenic material (representing blood products). There is an associated small amount of pelvic free fluid, possibly hemoperitoneum. There are no associated uterine or renal anomalies.

Case Discussion

Enlarged uterus with hematometra and mild pelvic hemoperitoneum in a patient with primary amenorrhea, probably due to imperforate hymen.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.