Imperforate hymen with cryptomenorrhae in a 14 year old girl: a case report

Abstract

Introduction: Imperforate hymen is a rare congenital obstruction of the vagina that is associated with accumulation of uterovaginal secretions often producing hydrometrocolpos. Methodology/Results (Case report): This is a report of miss A. B., a 14 year old premenarchial secondary school student who presented to our unit in July 2010 with three months history of progressive abdominal swelling and six months history of cyclical lower abdominal pain. There was no history of bleeding per vaginum. On examination her general condition was satisfactory and her vital signs were stable. Abdominal examination revealed a 30 weeks size pelvic mass which was tense and non tender. Vaginal examination showed normal external genitalia with a tense, bulging imperforate hymen. After investigations a diagnosis of imperforate hymen with cryptomenorrhea was made. The patient had cruciate incision of the hymen done with gentle evacuation of about 2 litres of altered blood. She had a good post operative recovery and was discharged home five days later. She had regular normal follow up visits. Conclusion: Imperforate hymen with Cryptomenorrhea is a rare surgically correctable condition which in severe untreated forms may lead to infertility and urinary retention.