Imperforate Hymen Complicated by Hematocolpos; A Case Report

Abstract

Introduction and Importance: Imperforate hymen is the complete obstruction of the vaginal canal caused by a non-regressed hymen. It is a rare condition that can be diagnosed antenatally, postnatally, during infancy, and after menarche. The presentation is usually cyclic abdominal pain, amenorrhea, and hematocolpos, which is an accumulation of blood in the vaginal cavity.

Case Presentation: This case report presents a typical instance of imperforate hymen in a patient who presented with hematocolpos. In addition to the clinical complications, she also experienced social repercussions, as her husband divorced her due to the condition. She was treated successfully.

Clinical Discussion: Imperforate hymen presents with multiple signs and symptoms. It is managed surgically with either hymenotomy or hymenectomy.

Conclusion: Pelvic examinations should not be avoided in virgin or young patients who present with amenorrhea and cyclic lower abdominal pain.