{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T20:32:10Z","timestamp":1768509130531,"version":"3.49.0"},"reference-count":31,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:00Z","timestamp":1768262400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010609","name":"Medical University of Gda\u0144sk","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100010609","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Reports"],"abstract":"<jats:p>An imperforate hymen is a rare congenital genital anomaly causing menstrual blood retention during puberty. Treatment consists of a simple surgical incision of the hymenal membrane. We present a case of a 14-year-old girl who was admitted to the Emergency Department with severe lower abdominal pain mimicking appendicitis. Medical history revealed a lack of menses and several months of cyclic abdominal pain. Imaging diagnostics confirmed an imperforate hymen with hematometrocolpos. Hymenotomy was performed with full recovery without complications. An imperforate hymen should be considered in the differential diagnosis of abdominal pain in adolescent girls, especially without expected menstruation. Early recognition allows for prompt treatment and prevents complications.<\/jats:p>","DOI":"10.3390\/pediatric18010010","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T08:17:32Z","timestamp":1768292252000},"page":"10","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Severe Abdominal Pain Mimicking Appendicitis Caused by Imperforate Hymen: Case Report and Narrative Review"],"prefix":"10.3390","volume":"18","author":[{"given":"Julia","family":"Kleina","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Medical University of Gdansk, M. Sk\u0142odowskiej-Curie 3a, 80-210 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcin","family":"Wieczorek","sequence":"additional","affiliation":[{"name":"Nicolaus Copernicus Hospital in Gda\u0144sk, Nowe Ogrody 1\/6, 80-803 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karolina","family":"Markowska","sequence":"additional","affiliation":[{"name":"Children\u2019s Surgery and Urology Ward, Nicolaus Copernicus Hospital in Gda\u0144sk, Nowe Ogrody 1\/6, 80-803 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katarzyna","family":"Nierzwicka","sequence":"additional","affiliation":[{"name":"Children\u2019s Surgery and Urology Ward, Nicolaus Copernicus Hospital in Gda\u0144sk, Nowe Ogrody 1\/6, 80-803 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2166-7018","authenticated-orcid":false,"given":"Julia","family":"Leszkowicz","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Gastroenterology, Allergology & Paediatric Nutrition Medical University of Gda\u0144sk, Nowe Ogrody 1\/6, 80-803 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5992-4414","authenticated-orcid":false,"given":"Agnieszka","family":"Szlagatys-Sidorkiewicz","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Gastroenterology, Allergology & Paediatric Nutrition Medical University of Gda\u0144sk, Nowe Ogrody 1\/6, 80-803 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,1,13]]},"reference":[{"key":"ref_1","unstructured":"WHO (2007). BMI-for-Age (5\u201319 Years), World Health Organization. Available online: https:\/\/www.who.int\/tools\/growth-reference-data-for-5to19-years\/indicators\/bmi-for-age."},{"key":"ref_2","unstructured":"WHO (2007). Height-for-Age (5\u201319 Years), World Health Organization. Available online: https:\/\/www.who.int\/tools\/growth-reference-data-for-5to19-years\/indicators\/height-for-age."},{"key":"ref_3","unstructured":"Abdelrahman, H.M., Jenkins, S.M., and Feloney, M.P. (2025). Imperforate Hymen. StatPearls, StatPearls Publishing."},{"key":"ref_4","first-page":"38","article-title":"Urinary Retention Secondary to an Imperforate Hymen in a 16-Year-Old Patient\u2014A Case Report and a Review of the Literature","volume":"13","author":"Wydra","year":"2005","journal-title":"Ginekol. Prakt."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Lee, K., Hong, J., Jung, H., Jeong, H., Moon, S., Park, W., Jeong, Y., Song, S., Suk, Y., and Son, M. (2019). Imperforate Hymen: A Comprehensive Systematic Review. J. Clin. Med., 8.","DOI":"10.3390\/jcm8010056"},{"key":"ref_6","first-page":"701","article-title":"Hematocolpos as a rare cause of acute urinary retention in a 14-year-old girl","volume":"15","author":"Marciniak","year":"2018","journal-title":"Standardy Medyczne\/Pediatria"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e372","DOI":"10.1097\/AOG.0000000000003283","article-title":"Diagnosis and Management of Hymenal Variants","volume":"133","author":"Oelschlager","year":"2019","journal-title":"Obstet. Gynecol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1407","DOI":"10.1007\/s00431-013-2123-3","article-title":"Hymenal Anomalies in Twins\u2014Review of the Literature and Case Report","volume":"173","author":"Watrowski","year":"2013","journal-title":"Eur. J. Pediatr."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1241","DOI":"10.1016\/S0015-0282(00)01599-5","article-title":"Dominant Transmission of Imperforate Hymen","volume":"74","author":"Gray","year":"2000","journal-title":"Fertil. Steril."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"52","DOI":"10.15406\/ogij.2025.16.00788","article-title":"Imperforate Hymen Mimicking Hematocolpos: A Case Report and Mini Review of the Literature","volume":"16","author":"Sofoudis","year":"2025","journal-title":"Obstet. Gynecol. Int. J."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"014","DOI":"10.17352\/jgro.000079","article-title":"Hematocolpos on Imperforated Hymen and Acute Urinary Retention: A Rare Disease About Seven Observations and Literature Reviews","volume":"6","author":"Lahfaoui","year":"2020","journal-title":"J. Gynecol. Res. Obstet."},{"key":"ref_12","first-page":"23","article-title":"Neonatal Hydrometrocolpos Secondary to Imperforate Hymen Presented with Acute Urinary Retention: Case Report","volume":"13","author":"Tegene","year":"2023","journal-title":"Res. Rep. Neonatol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"96","DOI":"10.26444\/jpccr\/209683","article-title":"Imperforate Hymen with Renal Complications? A Case of a 2-Day-Old Patient with Hydrometrocolpos","volume":"19","author":"Brodowska","year":"2025","journal-title":"J. Pre-Clinical Clin. Res."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/s40748-024-00179-3","article-title":"Hydrocolpos Causing Bowel Obstruction in a Preterm Newborn: A Case Report","volume":"10","author":"Jouza","year":"2024","journal-title":"Matern. Health Neonatol. Perinatol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1007\/s11604-021-01115-7","article-title":"Congenital Anomalies Causing Hemato\/Hydrocolpos: Imaging Findings, Treatments, and Outcomes","volume":"39","author":"Tanitame","year":"2021","journal-title":"Jpn. J. Radiol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"59","DOI":"10.4322\/acr.2014.030","article-title":"Microperforated Hymen: A Case of Delayed Diagnosis","volume":"4","author":"Ferrarini","year":"2014","journal-title":"Autops. Case Rep."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1007\/s40746-016-0064-6","article-title":"Development of the Female Reproductive Tract and Associated Anomalies","volume":"2","author":"Arbuckle","year":"2016","journal-title":"Curr. Treat. Options Pediatr."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Chua, B.H.E., Amin, Z., and Ng, Y.P.M. (2024). Familial Occurrence of Imperforate Hymen in Premature Monozygotic Twins and Their Mother: A Case Report and Literature Review. Front. Pediatr., 12.","DOI":"10.3389\/fped.2024.1377290"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1177\/014107688307600707","article-title":"Imperforate Hymen and Vaginal Atresia and Their Associated Anomalies","volume":"76","author":"Shaw","year":"1983","journal-title":"J. R. Soc. Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"177","DOI":"10.4103\/jiaps.jiaps_116_22","article-title":"A Female Infant with Rectovestibular Fistula and Imperforate Hymen","volume":"28","author":"Khedkar","year":"2023","journal-title":"J. Indian Assoc. Pediatr. Surg."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1007\/s10140-021-01923-4","article-title":"Magnetic resonance imaging versus computed tomography and ultrasound for the diagnosis of female pelvic pathology","volume":"28","author":"Harringa","year":"2021","journal-title":"Emerg. Radiol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.jpag.2024.07.004","article-title":"Comparison between 3D-Enhanced Conventional Pelvic Ultrasound and Magnetic Resonance Imaging in the Evaluation of Obstructive M\u00fcllerian Anomalies and Its Concordance with Surgical Diagnosis","volume":"38","author":"Qin","year":"2025","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_23","unstructured":"European Commission (2018). Radiation Protection No 185: European Guidelines on Diagnostic Reference Levels for Paediatric Imaging, Publications Office of the European Union."},{"key":"ref_24","unstructured":"American College of Radiology, American Society of Emergency Radiology, Society of Computed Body Tomography and Magnetic Resonance, and Society of Pediatric Radiology (2019). ACR-ASER-SCBT-MR-SPR Practice Parameter for the Performance of Pediatric Computed Tomography (CT), American College of Radiology."},{"key":"ref_25","unstructured":"Gherai, R., and Chitulea, P. (2020). Hematohydro-Hysterocolpos with Vaginal Atresia, Egon and Ann Diczfalusy Foundation. Available online: https:\/\/diczfalusyfoundation.org\/literature\/2020-07-hematohydrohysterocolpos-with-vaginal-atresia."},{"key":"ref_26","first-page":"985","article-title":"A Rare Case Report of a Congenital Imperforate Hymen Causing Obstructive Uropathy and Constipation in an 11-Year-Old Girl","volume":"17","author":"Tedyanto","year":"2024","journal-title":"Int. Med Case Rep. J."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1016\/j.jpag.2019.04.002","article-title":"The Dangers of Hymenotomy for Imperforate Hymen: A Case of Iatrogenic Pelvic Inflammatory Disease with Pyosalpinx","volume":"32","author":"Wong","year":"2019","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1016\/j.jpag.2019.04.003","article-title":"Management and Prevention of Postoperative Complications in a Neonate with a Symptomatic Imperforate Hymen","volume":"32","author":"Grimstad","year":"2019","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"786","DOI":"10.4103\/jdmimsu.jdmimsu_348_21","article-title":"A Case of Recurrent Hematocolpos Posthymenectomy in a Pubertal Girl with Transverse Vaginal Septum","volume":"16","author":"Dhande","year":"2021","journal-title":"J. Datta Meghe Inst. Med. Sci. Univ."},{"key":"ref_30","first-page":"1400","article-title":"The Impact of Hymenectomy on Future Gynecological and Obstetrical Outcomes","volume":"33","author":"Amitai","year":"2018","journal-title":"J. Matern.-Fetal Neonatal Med."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Lamceva, J., Uljanovs, R., and Strumfa, I. (2023). The Main Theories on the Pathogenesis of Endometriosis. Int. J. Mol. Sci., 24.","DOI":"10.3390\/ijms24054254"}],"container-title":["Pediatric Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2036-7503\/18\/1\/10\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T05:23:57Z","timestamp":1768454637000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2036-7503\/18\/1\/10"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,13]]},"references-count":31,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,2]]}},"alternative-id":["pediatric18010010"],"URL":"https:\/\/doi.org\/10.3390\/pediatric18010010","relation":{},"ISSN":["2036-7503"],"issn-type":[{"value":"2036-7503","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,13]]}}}