What Is Causing Suprapubic Pain in a Prepubescent Girl?

Marilynn Chan; Joyce C. Arpilleda, MD; Ghazala Sharieff, MD


January 12, 2011


Routine examination of the female genitalia by primary care clinicians during well-child care visits in childhood is strongly recommended so that genital abnormalities can be diagnosed early.[9] As this case points out, expanding the differential diagnosis is needed in the premenstrual patient with abdominal pain. The diagnosis of hematometrocolpos from an imperforate hymen depends on an awareness of the condition as a possible anomaly. When this condition presents as abdominal pain or an abdominal mass, diagnostic testing is often extensive because the condition is not considered. Performing an external genital examination may avoid extensive workups.


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