Related Experiment Videos
Backache: a rare diagnosis and unusual complication
1Department of Surgery, Birmingham Childrens Hospital NHS Trust, Ladywood, Birmingham, UK.
Pediatric Surgery International
|January 13, 2000
Summary
An adolescent girl experienced severe backache, urinary issues, and chest pain. This rare presentation of a hematocolpos due to an imperforate hymen led to mediastinal emphysema.
Area of Science:
- Gynecology
- Pediatric Surgery
- Emergency Medicine
Background:
- Imperforate hymen is a rare congenital anomaly.
- It typically presents in adolescence with symptoms of outflow obstruction.
Observation:
- A patient presented with chronic backache, urinary dribbling, constipation, and straining.
- She developed acute chest pain and upper torso swelling.
Findings:
- The symptoms were attributed to a hematocolpos secondary to an imperforate hymen.
- A rare complication of mediastinal emphysema was identified.
Implications:
- This case highlights the importance of considering imperforate hymen in adolescent girls with lower abdominal or back pain.
- Prompt diagnosis and surgical intervention are crucial for managing this condition and its complications.