Familial imperforate hymen in an adolescent girl: presenting as acute lower abdominal pains and distention − a case report and review of literature

Imperforate hymen often is not diagnosed until an adolescent girl presents with complaints of primary amenorrhea and cyclical pelvic pains. We report the case of a 15-year old girl with a family history of imperforate hymen that presented with complaints of progressive lower abdominal pains and distention, and primary amenorrhea. A diagnosis of Imperforate hymen was made by history, findings at physical examination and trans-abdominal ultrasonography. She subsequently had hymenotomy for hematocolpometra. Her postoperative recovery was normal and her menstruation became regular.