alexa Imperforated Hymen: An Unexpected Cause of Pediatric Ab
ISSN: 2329-9088

Tropical Medicine & Surgery
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Case Report

Imperforated Hymen: An Unexpected Cause of Pediatric Abdominal Pain,Case Report and Review of Literature

Joanna Mercado-Alvarado*, Jorge L Falcon and Juan Zequeira

University of Puerto Rico, USA

*Corresponding Author:
Joanna Mercado-Alvarado
U.P.R. School of Medicine, Department of Emergency Medicine
University of Puerto Rico, USA
E-mail:[email protected]

Received Date: September 16, 2013; Accepted Date: September 26, 2013; Published Date: September 30, 2013

Citation: Mercado-Alvarado J (2013) Imperforated Hymen: An Unexpected Cause of Pediatric Abdominal Pain, Case Report and Review of Literature. Trop Med Surg 1:144. doi: 10.4172/2329-9088.1000144

Copyright: © 2013 Mercado-Alvarado J. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Introduction: Imperforate Hymen is the most common female genital tract malformation with prevalence of up to 0.1% and can present with wide variety of symptoms, ranging from abdominal pain to urinary retention. Case: Case of 11 y/o female with cyclical abdominal pain and palpable mass up to umbilicus. Patient diagnosed with imperforate hymen and taken to operating room (OR) by Gynecology team for hymenotomy; 2,500 mL of blood was evacuated. Discussion: Imperforate Hymen is an uncommon cause of abdominal pain. Presentation varies from abdominal pain and difficulty urinating, to urinary retention and tenesmus. Ultrasound is the study of choice for further evaluation and definite treatment is via hymenotomy. Conclusion: Imperforate hymen is an easily missed diagnosis in the Emergency Department (ED). It has to be included in the differential diagnosis for abdominal pain in pre-menarchal females.

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