PMC4337051_01
Clinical presentation of megahematocolpos.
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The clinical presentation was quite impressive: a thin girl with a BMI of 22 with a painless, nontender, soft, and homogenous mass, distorting her abdominal wall and expanding up to 5 cm over the umbilicus (Figure 1).
2D ultrasound imaging of megahematocolpos.
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A structure of 34 cm length, 11 cm width, and 11 cm height was evidenced at 2D transabdominal ultrasound (Figure 2).
Postoperative 3D ultrasound imaging.
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On the cranial, frontal end of the structure, cranial from the umbilicus and adapted to the front abdominal wall, we observed a uterus of normal size (no hematometra) (Figure 3), while both ovaries were present with a normal appearance.