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Related Experiment Video

Updated: Jun 15, 2026

Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity

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Published on: December 21, 2012

[Imperforate hymen: one diagnosis can hide another].

E Nohuz¹, W Moreno, J Varga

¹Service de gynécologie-obstétrique, centre hospitalier de Thiers, route du Fau, 63300 Thiers, France. enohuz@yahoo.fr

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie

|March 9, 2010

Summary

Imperforate hymen can cause acute abdominal pain in young girls, mimicking appendicitis. Early diagnosis and surgical hymenotomy are crucial for effective treatment and recovery.

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Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity

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Area of Science:

Gynecology
Pediatric Surgery
Emergency Medicine

Background:

Imperforate hymen is a rare congenital anomaly.
Delayed diagnosis can lead to significant complications.

Observation:

An 11-year-old girl presented with symptoms suggestive of appendicitis.
Laparotomy revealed hemoperitoneum and a dilated fallopian tube, prompting further investigation.
Pelvic examination and ultrasonography confirmed an imperforate hymen with significant fluid accumulation.

Findings:

Surgical management involved hymenotomy, releasing 400cc of fluid.
The patient recovered well after the procedure.
This case highlights diagnostic challenges in pediatric acute abdomen.

Implications:

Acute abdominopelvic pain in premenarchal girls warrants suspicion of imperforate hymen.
Thorough gynecological examination is essential for timely diagnosis.
Prompt surgical intervention (hymenotomy) is the definitive treatment.