Hematocolpos: An Unusual Cause of Right Iliac Fossa Pain

Acute appendicitis is the most frequent indication for emergency abdominal surgery in childhood. Despite being a common condition, the diagnosis of acute appendicitis can be challenging. Ultrasound examination remains the imaging tool of choice for the diagnosis of acute appendicitis. We report the...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2021-10, Vol.13 (10), p.e18835
Main Authors: Khashoggi, Alya A, Hakami, Nouf A, Alghamdi, Majdoleen A, Ayed, Hussam Y, Alqarni, Ali D, Alshahrani, Talal J, Alshamrani, Abdulaziz M, Alayyaf, Abdallah S, Almansour, Raghad A, Alolyan, Sharouq A, Alotaibi, Afrah A, Alabdulltif, Sarah K, Obaidi, Eman A, Akkasi, Hatim A, Alshammari, Malak
Format: Article
Language:English
Subjects:
Abdomen
Abdominal surgery
Appendicitis
Asthma
Bladder
Blood
Case reports
Fallopian tubes
General Surgery
Gynecology
Laboratories
Medical imaging
Medical schools
Medicine
Obstetrics/Gynecology
Pain
Patients
Pediatrics
Ultrasonic imaging
Uterus
Vagina
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Summary:Acute appendicitis is the most frequent indication for emergency abdominal surgery in childhood. Despite being a common condition, the diagnosis of acute appendicitis can be challenging. Ultrasound examination remains the imaging tool of choice for the diagnosis of acute appendicitis. We report the case of a nine-year-old girl who presented with acute abdominal pain in the right lower quadrant accompanied by nausea and vomiting. Physical examination revealed right iliac fossa rebound tenderness. Ultrasound examination showed a dilated blind-ended structure in the right iliac fossa conferring the diagnosis of acute appendicitis. The patient underwent a CT scan which made the diagnosis of imperforate hymen with hematocolpos. The patient underwent hymenotomy and her symptoms showed complete resolution. Imperforate hymen with hematocolpos is a rare congenital genital tract anomaly. The case highlights the importance of appropriate genital examination in pediatric patients. In the present case, the patient might have undergone an unnecessary abdominal surgery if the correct diagnosis was not established.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.18835