Open AccessMissed diagnosis of imperforate hymen later presenting with hypertension
Author(s) -
Moira Suyin Chia,
Christopher Ho
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2020-237416
Subject(s) - medicine , girl , hymen , abdominal pain , physical examination , surgery , pediatrics , general surgery , gynecology , vagina , psychology , developmental psychology
An adolescent girl presented with hypertension and was found to have haematocolpos and imperforate hymen. She had a background of chronic abdominal pain and had sought medical attention multiple times prior, with the diagnosis being missed as pubertal evaluation and perineal examination had been neglected during those visits. Hypertension resolved following hymenectomy and drainage of haematocolpos with no long-term sequelae.