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Hematometrocolpos in a Pubescent Girl with Abdominal Pain
Haleigh C Kotter1, Daniel Weingrow1, Caleb P Canders1
1UCLA Medical Center, Department of Emergency Medicine, Los Angeles, California.
Abstract:
Hematometrocolpos is a rare congenital abnormality of the female urogenital system that leads to an imperforate hymen and subsequent retrograde menstruation. We present the case of a 14-year-old female patient who presented to the emergency department with amenorrhea and abdominal pain, and was found to have an imperforate hymen and hematometrocolpos on trans-abdominal point-of-care ultrasound. It is important for emergency physicians to consider this diagnosis in pubescent female patients presenting with abdominal pain, as missed diagnosis can lead to infertility and other complications.
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