{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T14:14:42Z","timestamp":1787494482504,"version":"build-2736575974"},"reference-count":15,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,9,1]]},"abstract":"<jats:p>Imperforate hymen in an adolescent usually presents with cyclic abdominal pain or with pelvic mass associated with primary amenorrhea. We present a 13-year-old girl with chronic lower back pain of 6 months' duration as the only complaint. On physical examination, multiple trigger points were detected in the quadratus lumborum and gluteus medius muscles bilaterally. Abdominal ultrasound revealed hematometrocolpos secondary to an imperforate hymen. Hymenectomy was performed, with complete resolution of the back pain. Myofascial pain syndrome with a viscerosomatic reflex is a possible explanation for the clinical presentation of our patient.<\/jats:p>","DOI":"10.1542\/peds.2012-1040","type":"journal-article","created":{"date-parts":[[2013,8,19]],"date-time":"2013-08-19T21:13:03Z","timestamp":1376946783000},"page":"e768-e770","source":"Crossref","is-referenced-by-count":17,"title":["Imperforate Hymen Presenting as Chronic Low Back Pain"],"prefix":"10.1542","volume":"132","author":[{"given":"Erel","family":"Domany","sequence":"first","affiliation":[{"name":"Departments of Pediatrics B, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oded","family":"Gilad","sequence":"additional","affiliation":[{"name":"Departments of Pediatrics B, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Shwarz","sequence":"additional","affiliation":[{"name":"Radiology, Schneider Children's Medical Center of Israel, Petach Tikva, Israel;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Vulfsons","sequence":"additional","affiliation":[{"name":"Institute for Pain Medicine, Rambam Health Care Campus, Haifa, Israel;"},{"name":"Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben Zion","family":"Garty","sequence":"additional","affiliation":[{"name":"Departments of Pediatrics B, and"},{"name":"Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2013,9,1]]},"reference":[{"issue":"6","key":"2021120902580025500_B1","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1097\/01241398-199011000-00005","article-title":"Hematocolpos as a cause of back pain in premenarchal adolescents.","volume":"10","author":"Letts","year":"1990","journal-title":"J Pediatr Orthop"},{"key":"2021120902580025500_B2","first-page":"540","author":"DeCherney","year":"2007"},{"key":"2021120902580025500_B3"},{"issue":"2","key":"2021120902580025500_B4","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1007\/s00431-010-1220-9","article-title":"Practical approach to the child presenting with back pain.","volume":"170","author":"Haidar","year":"2011","journal-title":"Eur J Pediatr"},{"issue":"2","key":"2021120902580025500_B5","doi-asserted-by":"crossref","first-page":"321","DOI":"10.7863\/jum.2010.29.2.321","article-title":"Hematocolpometra due to an imperforate hymen presenting with back pain: sonographic diagnosis.","volume":"29","author":"Drakonaki","year":"2010","journal-title":"J Ultrasound Med"},{"issue":"13","key":"2021120902580025500_B6","doi-asserted-by":"crossref","first-page":"1920","DOI":"10.1097\/00007632-199310000-00034","article-title":"Hematometra as a cause of lumbar radiculopathy. 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