# Hematocolpometra due to Imperforate Hymen

## TL;DR

Imperforate hymen can cause serious complications if not diagnosed early, requiring careful examination and imaging in girls with unexplained abdominal pain or constipation.

## Contribution

Highlights the importance of genital examination and imaging in diagnosing imperforate hymen to prevent complications like hematocolpometra.

## Key findings

- Imperforate hymen can lead to fluid accumulation in the vaginal canal and uterine cavity.
- Missed diagnosis in primary care is common due to nonspecific symptoms.
- Imaging reveals complications such as bladder distension and hydronephrosis.

## Abstract

Early recognition of imperforate hymen in premenarchal girls enables timely intervention to prevent serious complications; however, its nonspecific presentation often leads to missed diagnosis in primary care. Careful genital examination, supplemented by appropriate imaging, is essential when evaluating lower abdominal pain or constipation in girls with amenorrhea.

2a: Significant fluid accumulation in the vaginal canal (yellow arrows) extending into the uterine cavity (red arrows), along with bladder distension (yellow arrowheads). 2b: Bilateral hydronephrosis and ureteral dilatation.