TITLE:
Imperforate Hymen with Bicornuate Uterus in an Adolescent Patient
AUTHORS:
Cheau Williams, Daniel Santiago, Catherine Cravey, Danielle Rosenzweig, Ebony Isagba, Mykala Jackson, Sabirah Smith, Alexandria Neal
KEYWORDS:
Imperforate Hymen, Hematocolpos, Bicornuate Uterus, Abdominal Pain, Back Pain, Amenorrhea, Hymenectomy, Vaginal Reconstruction, Case Report
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.15 No.10,
September
30,
2025
ABSTRACT: A thirteen-year-old patient presenting with chronic pain and amenorrhea was evaluated for ongoing discomfort and worsening symptoms. Pelvic examination showed a vaginal protrusion consistent with imperforate hymen and imaging was consistent with significant hematocolpos. Hymenectomy was performed and a bicornuate uterus was revealed in postoperative imaging. This case report adds to the medical literature exploring the diagnosis of imperforate hymens, which occur in 0.1% of female neonates and may co-occur with a bicornuate uterus (0.4% prevalence in females). It provides a perspective on the rarity of the incidence of imperforate hymen patients with another genitourinary anomaly. It also challenges current ideology regarding imperforate hymens not requiring additional workup to assess other congenital uterine anomalies.