@article{3184384,
    title = "A Rare Case of Massive Hematometra with a Tubo-ovarian Abscess in a
16-year-old Female",
    author = "Tsatsaris, Georgios and Fasoulakis, Zacharias and Papapanagiotou, and Loannis and Theodora, Marianna and Kontomanolis, Emmanuel N.",
    journal = "CUREUS",
    year = "2019",
    volume = "11",
    number = "6",
    publisher = "CUREUS INC",
    doi = "10.7759/cureus.4845",
    keywords = "imperforate hymen; hematometra; tubo-ovarian abscess; hymenectomy",
    abstract = "Imperforate hymen is a congenital defect of the lower genital tract and
specifically the vagina. The examination of a neonatal can be quite
helpful to avoid a multitude of complications in puberty like
hematocolpos and tubo-ovarian abscess.
We present the case of a 16-year-old who presented to the emergency
department with fever (37.9 degrees C), which was progressive the last
two days, swollen abdomen, and pain in the lower abdomen. She also had a
one-year history of cyclic abdominal pain. The patient had primary
amenorrhea, the secondary sexual characteristics were normal for her age
(Tanner III), and there was no family history of primary amenorrhea. The
physical and ultrasound examination revealed an imperforate and bulging
vaginal membrane and a multilocular adnexal mass, respectively.
Every doctor should suspect this medical condition when there is a triad
of symptoms like cyclic lower abdominal pain, primary amenorrhea, and
swollen abdomen. Early diagnosis of an imperforate hymen can prevent
serious complications for young patients."
}