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Imaging
Authors:
Daouda Diarra
,
Abdoulfatihi Salihou
,
Boubacar Traore
,
Dalale Laoudihi
,
Kamilia Chbani
,
Siham Salam
, and
Lahcen EL Ouzidane

Abstract

We report the case of a patient with hematocolpos on hymenal imperforation, revealed following cyclic pelvic pain with primary amenorrhea associated with pelvic heaviness for one year. MRI showed significant distension of the vagina forming a pseudo mass, well limited, in T1 high signal, in moderate T2 high signal, with the presence of declining deposits in hyposignal related to hemosiderin. A hymenotomy was performed under general anaesthesia, the postoperative course was favourable. This case illustrates the particularity of suspecting a hematocolpos in the presence of a pelvic mass in a young girl with amenorrhea.

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