A Rare Presentation of Imperforate Hymen: A Case Report

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<jats:p><jats:italic>Introduction</jats:italic>. Acute urinary retention in a child is rare. Haematocolpos can cause a mechanical obstruction, resulting in acute urinary retention.<jats:italic>Case Report</jats:italic>. A 12-year-old girl presented to the surgical department with a one-day history of acute urinary retention and suprapubic tenderness. She had not started menses but had described period-like pains every month for the past six months. On examination, she had a palpable bladder with over 500 mls of residual urine and a bluish-grey bulge posterior to her urethral meatus. An US scan showed a large mass posterior to her bladder resembling a haematocolpos, and this was confirmed with an MRI scan. She was catheterised and eventually underwent a hymenectomy using a cruciate incision. She made a good recovery postoperatively.<jats:italic>Conclusion</jats:italic>. In the case of a peripubertal female presenting with acute urinary retention, haematocolpos should be considered as a diagnosis.</jats:p>

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