A 19-year-old woman presented to the emergency department 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. 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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Edited I think we have seen it before it is reposted case
Hematometrocolpus
Thanx dr Jivan Rathod
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Hematometrocolpos
E - Haematocolpos
Choriocarcinoma
Tnx
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Haematocolpas E
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