A Case Report On Haematocolpos

Volume : VII, Issue : X, October - 2018

Archana Suneja, Kiran Borkar

Background: Abdominal masses in female adolescents are uncommon. A rare cause of this condition is

hematocolpos due to imperforate hymen. Ideally, diagnosis should be made early during fetal and neonatal

examinations to prevent symptomatic presentations of its complications at puberty.

Case report: We report a case of a 14-year-old girl who presented with delayed menarche, eight months history of cyclic abdominal

pain, and a two days history of retention of urine. The development of her secondary sexual characteristics was normal for her age. A

bulging bluish imperforate hymen was found on examination. Her transabdominal ultrasound revealed about

15x 6.6 cm mass in continuation of uterus in region of vagina with deis within. She had virginity-preserving hymenotomy and evacuation

of about 300 ml of accumulated coffee-colored menstrual blood.

Conclusion: Clinicians should have high index of suspicion of imperforate hymen when assessing cases of delayed menarche with

cyclic lower abdominal pain to prevent the consequences of its delayed treatment like massive hematometra, hematocolpos and

urinary retention.