J Korean Soc Emerg Med.  2004 Aug;15(4):286-288.

An Imperforate Hymen with Lower Abdominal Pain and Acute Urinary Retention: A case report

• Oh JH
• Park IC
• Kim SH
• Yoon YS

Abstract

A 13-year-old girl was transferred from a private clinic to our emergency department due to lower abdominal pain and acute urinary retention. Radiologic evaluation showed an imperforate hymen with hematocolpometra. In the emergency department, an imperforate hymen is a rare cause of acute urinary retention. Usually, the diagnosis of a congenital inperforate hymen can be made by inspection of the perineum; however, in many cases, an extensive radiologic evaluation must be performed because of misdiagnosis. The emergency physician should consider an imperforate hymen in girls with lower abdominal pain and urinary retention.

Keyword

Hymen; Urinary retention; Congenital

MeSH Terms

Abdominal Pain*
Adolescent
Diagnosis
Diagnostic Errors
Emergencies
Emergency Service, Hospital
Female
Humans
Hymen*
Perineum
Urinary Retention*