Imperforate hymen : Haematometrocolpus

Images by Genevieve Carbonatto

 This 11 year old presented with severe abdominal pain. On examination she had a distended tender abdomen.  She was initially thought to be in urinary retention. She was catheterised but had very little urine in her bladder. Her ultrasound shows a distended uterus from  haematometrocolpus due to an imperforate hymen. The bladder can be distinguished from the uterus by it’s thicker walls.

Transverse view of uterus shows a thin walled uterus, while the bladder is thicker walled.

 

 

 

 

 

 

 

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