Hematometra

Case contributed by Dr Rania Adel Anan

Presentation

Severe pelvic pain with a history of absent menarche.

Patient Data

Age: 15 years
Gender: Female
Ultrasound

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.

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