PMC9547026_01
image of vulva showing imperforate hymen
PAMJ-42-207-g001.jpg
PMC9547026_01_PAMJ-42-207-g001.jpg
F1
Also, while examining the external genitalia, an absence of a hymenal opening without a bulge or bluish discoloration of hymen was revealed, as it can be seen in (Figure 1).
sagittal midline ultrasound scan of pelvis showing a large hematocolpos with hematometra
PAMJ-42-207-g002.jpg
PMC9547026_01_PAMJ-42-207-g002.jpg
F2
Diagnostic assessment: an ultrasound scan showed the presence of hematometra and hematocolpos with bilateral hematosaplinx (Figure 2).
magnetic resonance imaging (MRI) showing hematometra and hematocolpos with obstruction at the lower third of the vagina
PAMJ-42-207-g003.jpg
PMC9547026_01_PAMJ-42-207-g003.jpg
F3
Further evaluation by magnetic resonance imaging (MRI) confirmed the ultrasound results, in addition to the association of a narrowing of the lower third of the vaginal canal (Figure 3), without differentiating between vaginal atresia and transverse vaginal septum.