Imperforate Hymen as Cause of Acute Urinary Retention

The imperforate hymen is one of the most frequent malformations of the female genital tract. The clinical presentation varies from the asymptomatic form to symptoms caused by the obstructive effect of the hematocolpometra such as primary amenorrhea, abdominal and lumbar pain, constipation, dysuria and urinary retention. We report the case of an adolescent whose only symptoms were acute urinary retention associated with severe pelvic pain.