When Pain Unveils Obstruction: Imaging Diagnosis of Hematometrocolpos Due to Vaginal Atresia

Hematometrocolpos is a medical condition characterized by the accumulation of menstrual blood (hematometra) in the uterus and the vagina (colpos), due to an obstruction that prevents the normal outflow of menstrual blood, often seen in conditions such as congenital anomalies, or other obstructive issues. Symptoms may include abdominal pain, cramping, and, in some cases, a palpable pelvic mass. Treatment usually involves addressing the underlying obstruction and draining the accumulated blood. Without early diagnosis and treatment, complications such as tubal adhesion, pelvic endometriosis, and infertility can occur. We report the case of a young girl in whom an hematometroclpos was incidentally discovered following complaints of an abdominal pain