case_images: PMC9547026_01
case_images: image of vulva showing imperforate hymen
case_images: PAMJ-42-207-g001.jpg
case_images: PMC9547026_01_PAMJ-42-207-g001.jpg
case_images: F1
case_images: 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).
case_images: sagittal midline ultrasound scan of pelvis showing a large hematocolpos with hematometra
case_images: PAMJ-42-207-g002.jpg
case_images: PMC9547026_01_PAMJ-42-207-g002.jpg
case_images: F2
case_images: Diagnostic assessment: an ultrasound scan showed the presence of hematometra and hematocolpos with bilateral hematosaplinx (Figure 2).
case_images: magnetic resonance imaging (MRI) showing hematometra and hematocolpos with obstruction at the lower third of the vagina
case_images: PAMJ-42-207-g003.jpg
case_images: PMC9547026_01_PAMJ-42-207-g003.jpg
case_images: F3
case_images: 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.