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Imperforate hymen is the most common obstructive anomaly of the female reproductive trac. Estimates of the frequency of imperforate hymen vary from 1 in 1000 to 1 in 10,000 females. It must be diagnosed at birth by the pediatrician; but imperforate hymen is most often diagnosed in adolescent girls after the age of menarche with otherwise normal development, if it is not diagnosed and be treated it will presents complications at puberty such as blood collection inside the vaginal cavity (hematocolpos), urinary retention, amenorrhea and pelvic pain or a risk of secondary endometriosis. The diagnosis of an imperforate hymen is usually made based purely on the physical exam, although Transabdominal ultrasonography is sufficient for imperforate hymen diagnosis but MRI provides more details on hymen thickness enabling choice of the appropriate surgical technique: a thick hymen needs surgical resection; a thin hymen only needs a vertical incision. This is a case report of lower abdominal pain as a result of an imperforate hymen causing haematocolpos.
Published Date: 2021-12-30; Received Date: 2021-12-10