{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T20:56:43Z","timestamp":1760043403983,"version":"3.40.5"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,5,29]],"date-time":"2019-05-29T00:00:00Z","timestamp":1559088000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To review presentations, diagnostic processes and time to diagnosis of presentations of imperforate hymen at one tertiary paediatric hospital over a 10\u2010year period. The aim was to improve knowledge, enable targeted education and reduce unnecessary tests and diagnostic delay for this congenital obstructive disorder of the female reproductive tract.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A pragmatic, retrospective, observational study was conducted of all female patients, aged younger than or equal to 18\u2009years of age, presenting to the Royal Children's Hospital, Melbourne, over an 18\u2010year period. Presenting symptom(s), time to diagnosis, investigations ordered and number of health\u2010care professionals consulted prior to diagnosis were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 27 patients met eligibility criteria, and 85% presented with pain (23\/27). Pain was frequently associated with other symptoms (15\/23). Over three quarters of patients consulted more than one health\u2010care professional prior to diagnosis (22\/27). Of the 27 patients, 19 had imaging undertaken prior to diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Paediatric and adolescent females managed at our tertiary paediatric hospital are experiencing diagnostic uncertainty and the unnecessary ordering of imaging prior to a diagnosis of imperforate hymen. Targeted education is recommended to health professionals managing female paediatric and adolescent patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.14501","type":"journal-article","created":{"date-parts":[[2019,5,30]],"date-time":"2019-05-30T02:44:35Z","timestamp":1559184275000},"page":"90-93","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Imperforate hymen: Retrospective review from a single tertiary centre of presenting symptoms and diagnostic process"],"prefix":"10.1111","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7415-1109","authenticated-orcid":false,"given":"Mikhaila","family":"Lazanyi","sequence":"first","affiliation":[{"name":"Department of Gynaecology Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5183-2892","authenticated-orcid":false,"given":"Sonia R","family":"Grover","sequence":"additional","affiliation":[{"name":"Department of Gynaecology Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,5,29]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"28","article-title":"Imperforate hymen \u2013 A rare cause of acute abdominal pain and tenesmus: A case report and review of literature","volume":"15","author":"Mwedna A","year":"2013","journal-title":"Pan Afr. 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