Imperforated hymen

Case contributed by Abdulrahman Abdo Ali Abbas
Diagnosis almost certain

Presentation

Periodic lower abdominal pain, the patient never had menses.

Patient Data

Age: 13 years
Gender: Female

Pelvis

mri

Cystic ballooning dilatation of the vagina, in continuity with the uterine cavity, The fluid content was bright on T1 and T1FS, intermediate on T2  corresponds to blood component, there are no uterine or kidney abnormalities.

Case Discussion

The clinical features and imaging findings are typical with hematocolpos, the condition may progress to hematometra and hematosalpinx if untreated, unlike the vaginal septum the imperforated hymen is not true Müllerian duct abnormalities and investigation for associated renal tract abnormalities is not necessary.

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