Presentation
Pelvic pain and urine retention.
Patient Data
Age: 15 years
Gender: Female
From the case:
Hematocolpos
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The vagina is markedly distended with fluid content measuring approximately 15 x 8 cm (L x W). It compresses the urinary bladder anteriorly and the rectum posteriorly and elevates the uterus.
Urinary bladder catheter is in situ with diffuse wall thickening-suggesting cystitis.
Ring artefact is seen.
Case Discussion
Hematocolpos is a condition given to a blood-filled dilated vagina due to menstrual blood in the situation of an anatomical obstruction, usually due to imperforate hymen. When there is concurrent uterine distention, the term hematometrocolpos is used.
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