14 yrs old girl Slight Anaemic Pain in abd since 2_3 mths No menses till date. Today's USG findings r posted below Please give y'r valuable opinions. Thanks & regards.

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Imperforate hymen with haematocalpos and polycystic ovaries.Needs local vulval examination to look for imperforate bulging hymen or vaginal atresia .Incision over the hymen and drainage of haematocalpos.Antibiotics and steroids to prevent infection and adhesions.

There is no bulge.
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@WHEN THERE IS NO BULGE MEANS PROBABLY TRANSVERSE VAGINAL SEPTUM.BOTH CONDITIONS PRESENT IN THE SAME WAY.USUALLY ACUTE RETENTION WITH PAIN IN IMPERFORATE HYAENA. CHRONIC PERIODICAL ABD PAIN WITH MASS PER ABD &PRIMARY AMENORRHOEA ....TRANSVERSE VAGINAL SEPTUM.

Along with haematosalpinx
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Pt didn't allow local exam,but on having a look I could not see any bulge in hymen,so can be a transverse serum.

Septum.
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Imperforate hymen with hematocolpos, may be attained menorche but concealed bleeding. Needs resection of hymen by gynecologist.

It proved out to be vaginal Septum.

The discussion was very helpful . I agree with you. Thanks
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Imperforate hymen with haematocolpos and polycystic ovaries.

Imperforate hymen. S|o hematocoplus

Haematocolpus,polycystic ovary seen

I agree with Dr M.A.Parveen

Nice post

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Diseases Related to Discussion

Breast
Polycystic Ovaries
Polycystic Ovary
Transverse Vaginal Septum
Vaginal Atresia
Hemometra
Pyosalpinx

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