A 19-year-old female presented with a 7-year history of periodic lower abdominal and pelvic pain without fever, chills, or dysuria. She had not had menses nor vaginal intercourse. Physical exam revealed lower abdominal distention and a firm and tender suprapubic mass extending from the pelvis to the umbilicus. The perineal exam is seen in the image. What is the likely diagnosis? A) Molar pregnancy B) Choriocarcinoma C) Endometrial cancer D) Uterine fibroids E) Hematometrocolpos

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E is rt ans

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E hematometrocolpos

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Hematometrocolpos History of no menarch Image shows imperforate hymen Collection of menstrual bleed in endometrial cavity So firm nd tender mass on suprapubic region Surgical intervention for hymen rupture is required

E haematometeocolpos

E _ Hematometrocolpos

E) Hematometrocolpos

Haematometrocolpos

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