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Nascer e Crescer

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SOUSA, Helena; FONSECA, Helena  and  SAMPAIO, Lurdes. Adolescent with abdominal pain and acute urinary retention: clinical presentation of hematocolpos and review of the literature. Nascer e Crescer [online]. 2010, vol.19, n.3, pp.152-154. ISSN 0872-0754.

Introduction: Hematocolpos in adolescents with imperforate hymen resulting from vaginal blood accumulation is a quite rare pathology. Case report: A previously healthy almost 14-year-old girl, was admitted to the emergency department with lower abdominal pain and acute urinary retention. No previous menstruation. Objective examination with pubertal Tanner stage IV, abdominal distension and pelvic mass. Gynecological examination revealed a blue imperforate hymen bulging from the vagina introitus outwards. Ultrasonography showed exuberant vesical globe and echogenic fluid accumulation in the vagina. Cruciate hymenotomy was un­eventful. Asymptomatic in the follow-up, one month later. Conclusion: The diagnosis of imperforate hymen and hematocolpos is probable in an adolescent girl with primary amenorrhea, abdominal pain or acute urinary retention. Evaluation of the pubertal stage and menses should be included in routine practice.

Keywords : hematocolpos; imperforate hymen; primary amenorrhea.

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