PMC6501474_01
Image of vulva showing imperforate hymen.
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On pelvic examination, the external genitalia was normal, and the hymen was closed (Figure 1).
Ultrasonographic image of imperforate hymen.
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A repeat abdominal ultrasonography at our hospital was consistent with an ovoid mid-pelvic sonolucent mass extending from the area of the visible upper vagina to the level just below the umbilicus (Figure 2).
Vulva after hymenotomy showing dark bloody secretions.
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About 700-mL old blood was removed (Figure 3) and the uterus was considerably reduced in size after the procedure.