Pelvic pain in young girls: not only dysmenorrhoea!

Vera Veiga, Vera Furtado Veiga, Barbara Ribeiro, Bárbara Ribeiro, Hermínia Gomes Afonso, Hermínia Afonso, Isabel Cristina Brisotti dos Reis, Isabel Reis
BMJ case reports · 2018 · vol. 2018 , pp. bcr–2018 · doi:10.1136/bcr-2018-226041 · PMID:30413444 · W2900372585
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Two cases of young girls with cyclic abdominal and urinary pain due to imperforate hymen illustrate the risk of complications with delayed diagnosis and treatment.

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Abstract

Imperforate hymen is the most frequent cause of haematocolpos, although it is a rare malformation (1:2000). We present two cases of young girls with cyclic abdominal pain and urinary symptoms. At gynaecological examination, they all presented imperforate hymen and ultrasound revealed significant vaginal distension. X-shaped hymenectomy was performed in all patients. The later the diagnosis of imperforate hymen, the higher the risk of complications like haematometra, haematosalpinx, haemoperitoneum and infections such as tubo-ovarian abscesses, peritonitis and endometriosis (retrograde menstruation theory).

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Condition tags

mesh:D004412mesh:D017699endometriosisdysmenorrhea

MeSH descriptors

Dysmenorrhea Hymen Menstruation Disturbances Menstruation Disturbances Pelvic Pain Ultrasonography Adolescent Congenital Abnormalities Diagnosis, Differential Female Humans Hymen Hymen Hymen Menstruation Disturbances Menstruation Disturbances Pelvic Pain Pelvic Pain Recurrence Ultrasonography

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References (17)

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