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Case Reports in Obstetrics and Gynecology
Volume 2015 (2015), Article ID 429740, 3 pages
http://dx.doi.org/10.1155/2015/429740
Case Report

Abdominal Tumor in a 14-Year-Old Adolescent: Imperforate Hymen, Resulting in Hematocolpos—A Case Report and Review of the Literature

1Department of Obstetrics & Gynecology, Medical School, Johannes Gutenberg University of Mainz, Langenbeck Straße 1, 55131 Mainz, Germany
23rd Department of Obstetrics and Gynecology, Medical School, University of Athens, “Attikon” Hospital, Rimini Street 1, Chaidari, 12462 Athens, Greece

Received 21 October 2014; Revised 17 January 2015; Accepted 19 January 2015

Academic Editor: Olivier Picone

Copyright © 2015 George Marios Makris et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Abdominal masses in female adolescents are uncommon. A rare cause of this condition is hematocolpos due to imperforate hymen. Case. We present a case of an unusually massive asymptomatic abdominal bulk in a 14-year-old female patient, who sought for medical advice after unusual abdominal pain lasting for few weeks. The patient was otherwise asymptomatic, apart from an unusual dramatic expansion of her abdominal wall during the last month. We describe the surgical management and the follow-up of the patient. Summary and Conclusion. Clinicians should keep in mind that an imperforate hymen can cause abdominal growth due to hematocolpos and include it in the differential diagnosis of such a clinical entity in female adolescents. 2D ultrasound is usually efficient for the confirmation of the diagnosis of hematocolpos, but 3D ultrasound is more accurate. Wide excision should be undertaken, as an initial approach, to avoid recurrence.