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Hematometrocolpos in a Pubescent Girl with Abdominal Pain

  • Author(s): Kotter, Haleigh C.
  • Weingrow, Daniel
  • Canders, Caleb P.
  • et al.
Abstract

Hematometrocolpos is a rare congenital abnormality of the female urogenital system that leadsto an imperforate hymen and subsequent retrograde menstruation. We present the case of a14-year-old female patient who presented to the emergency department with amenorrhea andabdominal pain, and was found to have an imperforate hymen and hematometrocolpos on transabdominalpoint-of-care ultrasound. It is important for emergency physicians to consider thisdiagnosis in pubescent female patients presenting with abdominal pain, as missed diagnosis canlead to infertility and other complications.

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