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Case report
Missed diagnosis of imperforate hymen later presenting with hypertension
  1. Moira Chia and
  2. Christopher Ho
  1. KK Women's and Children's Hospital, Singapore
  1. Correspondence to Dr Moira Chia; Moira.Chia.s.y{at}


An adolescent girl presented with hypertension and was found to have haematocolpos and imperforate hymen. She had a background of chronic abdominal pain and had sought medical attention multiple times prior, with the diagnosis being missed as pubertal evaluation and perineal examination had been neglected during those visits. Hypertension resolved following hymenectomy and drainage of haematocolpos with no long-term sequelae.

  • paediatrics
  • obstetrics and gynaecology

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  • Contributors MC wrote the first draft of the manuscript. CH recruited the patient and obtained parental consent for publishing of the manuscript. All authors vetted through and agreed on the final draft of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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