{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T17:18:11Z","timestamp":1790702291406,"version":"4.1.0"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,10,13]]},"abstract":"<jats:p>Imperforate hymen is the most frequent cause of haematocolpos, although it is a rare malformation (1:2000). We present two cases of young girls with cyclic abdominal pain and urinary symptoms. At gynaecological examination, they all presented imperforate hymen and ultrasound revealed significant vaginal distension. X-shaped hymenectomy was performed in all patients. The later the diagnosis of imperforate hymen, the higher the risk of complications like haematometra, haematosalpinx, haemoperitoneum and infections such as tubo-ovarian abscesses, peritonitis and endometriosis (retrograde menstruation theory).<\/jats:p>","DOI":"10.1136\/bcr-2018-226041","type":"journal-article","created":{"date-parts":[[2018,11,9]],"date-time":"2018-11-09T02:25:28Z","timestamp":1541730328000},"page":"bcr-2018-226041","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Pelvic pain in young girls: not only dysmenorrhoea!"],"prefix":"10.1136","volume":"2018","author":[{"given":"Vera Furtado","family":"Veiga","sequence":"first","affiliation":[{"name":"Gynecology and Obstetrics Department, Centro Hospitalar de Leiria, Leiria, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Gynecology and Obstetrics Department, Hospital de Braga, Braga, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Herm\u00ednia","family":"Afonso","sequence":"additional","affiliation":[{"name":"Gynecology and Obstetrics Department, Hospital de Braga, Braga, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Reis","sequence":"additional","affiliation":[{"name":"Gynecology and Obstetrics Department, Hospital de Braga, Braga, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,11,8]]},"reference":[{"key":"2025082701071049000_2018.nov08_1.bcr-2018-226041.1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmr021"},{"key":"2025082701071049000_2018.nov08_1.bcr-2018-226041.2","doi-asserted-by":"crossref","first-page":"e61","DOI":"10.1016\/j.jpag.2008.03.009","article-title":"Hymen sparing surgery for imperforate hymen: case reports and review of literature","volume":"22","author":"Basaran","year":"2009","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"2025082701071049000_2018.nov08_1.bcr-2018-226041.3","first-page":"655","article-title":"Imperforate hymen: report of an unusual familial occurrence","volume":"82","author":"Usta","year":"1993","journal-title":"Obstet Gynecol"},{"key":"2025082701071049000_2018.nov08_1.bcr-2018-226041.4","unstructured":"Duyos I , al AD , de la Calle M . 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Caso cl\u00ednico y revisi\u00f3n de la literatura; Progresos Obstetricia y Ginecolog\u00eda 2012."},{"key":"2025082701071049000_2018.nov08_1.bcr-2018-226041.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2004.01.016"},{"key":"2025082701071049000_2018.nov08_1.bcr-2018-226041.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2006.12.003"},{"key":"2025082701071049000_2018.nov08_1.bcr-2018-226041.7","doi-asserted-by":"crossref","first-page":"28","DOI":"10.11604\/pamj.2013.15.28.2251","article-title":"Imperforate Hymen - a rare cause of acute abdominal pain and tenesmus: case report and review of the literature","volume":"15","author":"Mwenda","year":"2013","journal-title":"Pan Afr Med J"},{"key":"2025082701071049000_2018.nov08_1.bcr-2018-226041.8","first-page":"323","article-title":"Hematocolpos por himen imperforado: errores en su diagn\u00f3stico y abordaje","volume":"32","author":"Acosta","year":"2011","journal-title":"Acta Pedi\u00e1trica de Mexico"},{"key":"2025082701071049000_2018.nov08_1.bcr-2018-226041.9","doi-asserted-by":"crossref","first-page":"1014","DOI":"10.1007\/s00247-009-1222-9","article-title":"Prenatal US diagnosis of congenital imperforate hymen","volume":"39","author":"Bhargava","year":"2009","journal-title":"Pediatr Radiol"},{"key":"2025082701071049000_2018.nov08_1.bcr-2018-226041.10","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/j.jpag.2007.12.011","article-title":"Hydrometrocolpos--diagnostic and therapeutic dilemmas","volume":"21","author":"Shaked","year":"2008","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"2025082701071049000_2018.nov08_1.bcr-2018-226041.11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-200X.2011.03422.x"},{"key":"2025082701071049000_2018.nov08_1.bcr-2018-226041.12","doi-asserted-by":"publisher","DOI":"10.1148\/rg.294085737"},{"key":"2025082701071049000_2018.nov08_1.bcr-2018-226041.13","doi-asserted-by":"crossref","first-page":"2","DOI":"10.5334\/jbr-btr.1413","article-title":"Hematometrocolpos due to an imperforate hymen","volume":"102","author":"Bekaert","year":"2018","journal-title":"J Belg Soc Radiol"},{"key":"2025082701071049000_2018.nov08_1.bcr-2018-226041.14","first-page":"397","article-title":"Hematocolpos-hematometra por imperforaci\u00f3n himeneal","volume":"27","author":"Tejerizo","year":"2000","journal-title":"Cl\u00ednica e Investigaci\u00f3n en Ginecolog\u00eda y Obstetricia"},{"key":"2025082701071049000_2018.nov08_1.bcr-2018-226041.15","doi-asserted-by":"crossref","first-page":"1376","DOI":"10.1111\/j.1471-0528.2007.01446.x","article-title":"The treatment of 65 women with imperforate hymen by a central incision and application of Foley catheter","volume":"114","author":"Acar","year":"2007","journal-title":"BJOG: An International Journal of Obstetrics & Gynaecology"},{"key":"2025082701071049000_2018.nov08_1.bcr-2018-226041.16","doi-asserted-by":"crossref","unstructured":"Okafor II , Odugu BU , Ugwu IA , et al . Imperforate hymen presenting with massive hematometra and hematocolpos: A case report. Gynecology and Obstetrics 2015.","DOI":"10.4172\/2161-0932.1000328"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-226041","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:07:21Z","timestamp":1756282041000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-226041"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,8]]},"references-count":16,"alternative-id":["10.1136\/bcr-2018-226041"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-226041","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11,8]]}}}