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BMJ Case Rep. 2018 Nov 8;2018. pii: bcr-2018-226041. doi: 10.1136/bcr-2018-226041.

Pelvic pain in young girls: not only dysmenorrhoea!

Author information

1
Gynecology and Obstetrics Department, Centro Hospitalar de Leiria, Leiria, Portugal.
2
Gynecology and Obstetrics Department, Hospital de Braga, Braga, Portugal.

Abstract

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).

KEYWORDS:

congenital disorders; obstetrics, gynaecology and fertility

PMID:
30413444
DOI:
10.1136/bcr-2018-226041

Conflict of interest statement

Competing interests: None declared.

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