History: 15yo with abdominal/pelvic pain
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Case 19 Answer
Large fair uniformly hyperdense mass posterior to the bladder with no Doppler flow. MRI above
Answer: Imperforate hymen with distended posterior vagina and uterine cavity (aka hematometrocolpos)
You don’t see these every day but it is something to keep in the back of your mind in a young female.It should be fairly apparent with a good history and physical, so you also don’t want to look silly calling it cancer.