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Hematocolpos. An unusual cause of sciatica in an adolescent girl
1Department of Orthopaedic and Trauma Surgery, Harrogate District Hospital, United Kingdom.
Study Design:
A case report.
Objective:
To document the occurrence of hematocolpos causing sciatica and leg weakness in an adolescent girl.
Summary Of Background Data:
Low back pain resulting from hematocolpos has been reported previously but not associated with symptoms of sciatica or neurologic weakness.
Methods:
The authors were involved in the care of this patient, and all medical records, radiologic investigations, and related literature were reviewed.
Results:
After being checked for longstanding symptoms of sciatica and leg weakness, the patient underwent a computed tomographic examination of lumbar spine, which showed a large collection in the pelvis consistent with hematocolpos. Surgical drainage of the collection was associated with complete resolution of her symptoms.
Conclusions:
Awareness of hematocolpos as a possible cause for sciatica and neurologic symptoms in the lower limbs may lead to earlier diagnosis and, therefore, reduced morbidity in the investigation of the adolescent girl.
