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Reminder of important clinical lesson
CASE REPORT
Pelvic pain in young girls: not only dysmenorrhoea!
  1. Vera Furtado Veiga1,
  2. Barbara Ribeiro2,
  3. Hermínia Afonso2,
  4. Isabel Reis2
  1. 1Gynecology and Obstetrics Department, Centro Hospitalar de Leiria, Leiria, Portugal
  2. 2Gynecology and Obstetrics Department, Hospital de Braga, Braga, Portugal
  1. Correspondence to Dr Vera Furtado Veiga, veralfveiga{at}gmail.com

Summary

Imperforate hymen is the most frequent cause of haematocolpos, although it is a rare malformation (1:2000). We present two cases of young girls with cyclic abdominal pain and urinary symptoms. At gynaecological examination, they all presented imperforate hymen and ultrasound revealed significant vaginal distension. X-shaped hymenectomy was performed in all patients. The later the diagnosis of imperforate hymen, the higher the risk of complications like haematometra, haematosalpinx, haemoperitoneum and infections such as tubo-ovarian abscesses, peritonitis and endometriosis (retrograde menstruation theory).

  • obstetrics, gynaecology and fertility
  • congenital disorders

https://doi.org/10.1136/bcr-2018-226041

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    Footnotes

    • Contributors VFV and BR were responsible for the conception, acquisition and interpretation of data for the case report. HA and IR were responsible for revising it critically and for the final approval of the version to be published.

    • 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 Obtained.

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