Case Report

An Uncommon Cause of Abdominal Pain in an Adolescent

Authors: Krishan Kumar, MD, Muhammad Waseem, MD


Imperforate hymen is a rare congenital anomaly which emergency physicians often forget to include in the differential diagnosis of lower abdominal pain in a pubescent girl. These patients often remain asymptomatic until puberty and present in early adolescence with cyclic abdominal pain. This case report reviews the presentation and treatment of an 11-year-old girl with imperforate hymen.

Key Points

* Imperforate hymen should be considered in every adolescent girl with primary amenorrhea and lower abdominal pain.

* A thorough patient history and simple inspection is valuable in making the diagnosis of imperforate hymen.

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