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A 13-year-old girl was referred to our department with a history of primary amenorrhea, cyclic lower abdominal pain, abdominal\u2013pelvic mass, constipation and acute urinary retention. She had an ultrasonography misdiagnosis of a huge ovarian mass before referral to our unit. On examination, the vagina was bulging and compressing the rectum. Repeat abdominal ultrasonography confirmed the diagnosis of hematometrocolpos. She underwent X-shaped hymenotomy with a favorable outcome. Diagnosis of imperforate hymen requires high suspicion index. Virginity-sparing surgery constitutes a good treatment option for cultural and religious reasons. <\/jats:p>","DOI":"10.1177\/2050313x19846765","type":"journal-article","created":{"date-parts":[[2019,5,2]],"date-time":"2019-05-02T11:23:51Z","timestamp":1556796231000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Virginity-sparing management of hematocolpos with imperforate hymen: case report and literature review"],"prefix":"10.1177","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4485-9517","authenticated-orcid":false,"given":"Thomas Obinchemti","family":"Egbe","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, University of Buea, Buea, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fidelia Mbi","family":"Kobenge","sequence":"additional","affiliation":[{"name":"Douala General Hospital, Douala, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuella Manka\u2019a","family":"Wankie","sequence":"additional","affiliation":[{"name":"Douala General Hospital, Douala, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,5,2]]},"reference":[{"key":"bibr1-2050313X19846765","doi-asserted-by":"crossref","unstructured":"Langman J, Wilson DB. 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