Description

ABSTRACT

Background: Imperforate hymen is the most common congenital obstructive anomaly of the female reproductive outflow tract. The incidence of imperforate hymen is 0.01% – 0.1% of all newborn females. Aim: The aim of the report is to present this uncommon clinical condition and create awareness on the presentation and management modalities. Case Report: Miss GS a 14 year old secondary school student with cyclical lower abdominal pain and absence of menstruation of one year duration. Examination revealed an 18 week uterine size and an imperforate hymen. She had hymenotomy in theatre under general anaesthesia with drainage of haematometria and haematocolpos. She was discharged in good clinical state. Conclusion: Imperforate hymen is a rare clinical condition. A high index of suspicion in pubertal girls with cyclical abdominal pains with absence of menstruation should be entertained. A favourable outcome follows prompt diagnosis and effective treatment.

 Keywords: Imperforate, Hymen, Cyclical, Hymenotomy, Incision