Presentation
Periodic lower abdominal pain.
Patient Data
Age: 14 years
Gender: Female
From the case:
Imperforate hymen with hematocolpos

Vagina is ballooned and filled with fluid with homogenous coarse internal echoes- a characteristic presentation of hematocolpos.
Case Discussion
Ultrasound can detect hematocolpos, which is almost always associated with imperforate hymen at this age group. This case shows typical sonographic presentation of the case.