A 16-year-old girl presented to the office complaining of recurrent abdominal pain that has been persistent for the past year. The pain typically starts at the beginning of each month and ends 3-4 days later. The pain is localized at the lower side of the abdomen. The patient did not have her menses, while her mother had it at the age of 13 years. On examination, the patient has an average BMI. Breast and pubic hair development are at tanner stage 5. The rectal examination has shown mass found anterior to the rectum. A pregnancy test is negative. Which of the following is the most likely diagnosis?

Question

Quizplus · Accepted Answer

Eductional Objective: Girst at age of puberty with adequate sexual development, who presents with primary amenorrhea with significant abdominal pain could have an imperforate hymen. Imperforate hymen present with a bulge in the introitus and mass felt anterior to the rectum.

A 16-Year-Old Girl Presented to the Office Complaining of Recurrent