Case Report Volume 15 Issue 1 - 2026

A Lesser Thought of Cause of Abdominal Pain in Adolescent Girls. A Case Report of Hematocolpos in a 14-Year-Old Adolescent and Literature Overview

Amina Aijjou1, Pascal Ramseyer2, Laswad Tarek3, Kalitha Pinnagoda2 and Simon Kayemba-Kay’s1*

1Medico-Surgical Department of Pediatrics, Riviera Chablais Regional Hospital, Rennaz, Switzerland

2Pediatric Surgery Unit, Medico-Surgical Department of Pediatrics, Riviera Chablais Regional Hospital, Rennaz, Switzerland

3Radiology and Medical Imaging Department, Riviera Chablais Regional Hospital, Rennaz, Switzerland

*Corresponding Author: Simon Kayemba-Kay’s, Senior Consultant in Pediatrics and Pediatric Endocrinology, Clinique de la Bai, Impasse de la Vierge Noire, Morlaix, France.
Received: December 14, 2025; Published: January 05, 2026



Hematocolpos and imperforate hymen are rare conditions. We report the case of a 14-year-old adolescent girl who was referred to our emergency room for suspected acute appendicitis. She was at Tanner Stage 4 (B4 - P5) and presented with a history of recurrent abdominal pain of long duration, along with primary amenorrhea. Initially, no gynecological examination was performed, and the diagnosis was ultimately made through pelvic ultrasound. Her symptoms resolved after undergoing a hymenectomy. This case serves as a reminder to junior doctors that thorough history-taking and clinical examination are essential before proceeding with imaging studies.

Keywords: Abdominal Pain; Adolescent Girls; Hematocolpos

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Simon Kayemba-Kay’s., et al. “A Lesser Thought of Cause of Abdominal Pain in Adolescent Girls. A Case Report of Hematocolpos in a 14-Year-Old Adolescent and Literature Overview”. EC Paediatrics  15.1 (2026): 01-06.