BMJ Case Reports 2013; doi:10.1136/bcr-2012-007542
  • Unusual association of diseases/symptoms

Primary amenorrhoea due to a rare cause: epidermolysis bullosa causing haematometra

  1. Yedla Manikya Mala1
  1. 1Department of Obstetrics and Gynaecology, Maulana Azad Medical College, New Delhi, India
  2. 2Department of Dermatology, Maulana Azad Medical College, New Delhi, India
  1. Correspondence to Dr Chanchal Singh, chanchalsngh{at}
  • Received 12 October 2012
  • Revised 4 November 2012
  • Accepted 20 November 2012
  • Published 2 January 2013


A 27-year-old woman with junctional epidermolysis bullosa (EB) presented with primary amenorrhoea and massive haematometra. Considering her severe physical handicap and anticipated problems in optimising menstrual hygiene, the patient and her parents opted for hysterectomy which was performed uneventfully. The patient was recovering well postoperatively until the eighth postoperative day when she developed acute dilation of stomach and unfortunately died on day 17.

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