Imperforate Hymen—A Rare Cause of Abdominal Pain: Two Cases and Review of the Literature

Abstract 

Study objective

To document an unusual cause of abdominal pain in premenarcheal adolescent girls.

Design

Case report.

Setting

A training and research hospital in Istanbul.

Results

Two cases of hematocolpos in two adolescent girls due to imperforate hymen were reported. Both of them manifested lower abdominal pain and urinary retention. Hymenotomy was performed in both the cases.

Conclusion

Imperforate hymen is a rare diagnosis, but should be considered when dealing with premenarcheal adolescent girls with lower abdominal symptoms or back pain.

Key Words: Imperforate hymen, hematocolpos, abdominal pain, adolescent