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Case Report

Imperforate Hymen: A Cause of Acute Urinary Retention in Young Females that is often Overlooked

Ram N. G. , Ram N. G. , Sanjay Mehta , Sameer Rathi

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Indian Journal of Emergency Medicine 1(2):p 103-105, Jul-Dec 2015. | DOI:

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Abstract

Children, especially females, very rarely present with acute urinary retention to the Emergency Department. In this case report, we present a case of urinary retention secondary to imperforate hymen leading to haematocolpos and mechanical obstruction of the urinary tract in a 12 year old adolescent girl. Imperforate hymen can be missed in adolescent girls presenting to Emergency Departments with urinary difficulty if genital examination or Emergency Ultrasound scan is not performed. There should be increased awareness among emergency physicians that imperforate hymen can be a possible cause urinary retention and lower abdominal pain in adolescent girls. We discuss the need of careful assessment along with a brief review of literature.

Keywords: Imperforate Hymen; Young Females; Cyclical Abdominal Pain. 

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