A Case of Recurrent Hematocolpos Posthymenectomy in a Pubertal Girl with Transverse Vaginal Septum

Abstract

In postpubertal age, one of the most common genital tract malformations is imperforate hymen and the patient usually presents with abdominal pain of cyclical nature with palpable abdominal mass and increased frequency of micturition. We report an unusual case of a 15-year-old girl who had a history of hematocolpos for which she underwent simple hymenotomy and drainage of collected menstrual blood from the genital tract, 2 months later, she again developed similar complaints of increased frequency of micturition and some palpable masses in the lower abdomen. On further investigation, magnetic resonance imaging showed recurrent hematocolpos but with a transverse vaginal septum. For which she again underwent hymenotomy and septal excision with Z-plasty. Imperforate hymen is a rare congenital malformation of the vagina that can be treated and diagnosed easily. An adequate early management requires proper knowledge and clinical history of pain with amenorrhea in young girls for diagnosis.