Introduction: Imperforate hymen is the most common obstructive congenital anomaly of female genital tract which prevents passage of menstrual bloodcausing hematometra and hematocolpos but its diagnosis is delayed and usually missed in emergency settings.

Case report: Here presenting a case of 14 year old girl who presented to emergency department with complaints of cyclical lower abdominal pain and primary amenorrhoea since 2 years and lower abdominal mass since 6 months.Secondary sexual characteristics were normal for her age.A bulging vaginal membrane with bluish hue noted on perineal examination was suggestive of imperforate hymen.The transabdominal ultrasound revealed hematometra,hematocolpos, right sided hydrosalpinx and left renal hydronephrosis. She underwent virginity preserving hymenotomy with drainage of approximately 1000cc menstrual blood.

Conclusion: Early diagnosis and treatment can prevent serious complication of imperforate hymen.Imperforate hymen can be diagnosed easily with detailed history and gynaecological examination.Virginity preserving hymenotomy is surgery of choice.

Keywords: Hematocolpos, hematometra, hymenotomy, imperforate hymen

Click Here For Reading Continue

For Download  :