# Haematometrocolpos Mimicking Appendicitis in an Adolescent Female: A Case Report

## TL;DR

A 15-year-old girl with abdominal pain and no menstrual periods was diagnosed with blood buildup due to an imperforate hymen, highlighting the need for proper diagnosis to avoid unnecessary surgery.

## Contribution

This case emphasizes the importance of considering gynecological causes in adolescents with abdominal symptoms and primary amenorrhea.

## Key findings

- Haematometrocolpos was diagnosed in an adolescent with abdominal pain and amenorrhea due to an imperforate hymen.
- Timely diagnosis and surgical intervention prevented complications and preserved reproductive function.
- General surgeons play a key role in initial assessment to rule out surgical emergencies in such cases.

## Abstract

This report presents the case of a 15-year-old female patient who exhibited symptoms of abdominal distension, constipation, and cyclical lower abdominal pain. Subsequent evaluation led to a diagnosis of haematometrocolpos as a consequence of an imperforate hymen. Imaging studies confirmed substantial blood accumulation within the vaginal and uterine cavities, necessitating surgical intervention. The patient was subsequently referred to the gynaecological department for further management. This case underscores the significance of recognising haematometrocolpos as a differential diagnosis in adolescent females presenting with primary amenorrhoea and abdominal pain. Given the overlap in presentations between surgical and gynaecological conditions, timely surgical consultation and imaging are imperative to prevent unnecessary interventions, while prompt diagnosis and appropriate surgical management are crucial to avert complications and preserve reproductive function. Furthermore, this case underscores the necessity for comprehensive clinical examination and imaging in patients with obstructive Müllerian anomalies, highlighting the vital role of the general surgeon in the initial assessment and the exclusion of acute surgical emergencies.