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Case Reports in Urology
Volume 2013, Article ID 731019, 3 pages
Case Report

A Rare Presentation of Imperforate Hymen: A Case Report

Northampton General Hospital, Cliftonville, Northampton NN1 5BD, UK

Received 3 July 2013; Accepted 18 August 2013

Academic Editors: S.-S. Chen, N. Eke, and S. K. Hong

Copyright © 2013 Beena Salhan 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.


Introduction. Acute urinary retention in a child is rare. Haematocolpos can cause a mechanical obstruction, resulting in acute urinary retention. Case Report. 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. Conclusion. In the case of a peripubertal female presenting with acute urinary retention, haematocolpos should be considered as a diagnosis.