A teen presents with years of cyclic Abdominal pain and primary amenorrhea. A physical exam reveals a large suprapubic mass. What is the diagnosis?
A 19-year-old woman presented to the emergency department with a 7-year history of periodic lower abdominal and pelvic pain without fever, chills, or dysuria. She had not had menses nor vaginal intercourse. Physical exam revealed lower abdominal distention and a firm and tender suprapubic mass extending from the pelvis to the umbilicus. Perineal exam is seen in the image. What is the likely diagnosis?
What is the most likely diagnosis?
Hematometrocolpos, Hymenotomy, Imperforate Hymen, Pelvic Pain, Primary Amenorrhea
