MinervaBMJ 2011; 343 doi: https://doi.org/10.1136/bmj.d7336 (Published 16 November 2011) Cite this as: BMJ 2011;343:d7336
- Lotte Harleman, ST3 paediatrics,
- Jon Staines, consultant paediatrician
A 13 year old girl presented to the paediatric clinic with four weeks of lower back and abdominal pain, constipation, and frequent and urgent urination. Examination found a palpable mass in the left lower quadrant of her abdomen, thought to be faeces. Her lumbar spine was tender. A provisional diagnosis of discitis was made and urgent magnetic resonance imaging of the spine was requested. The MRI showed a normal spine but a large haematocolpos secondary to imperforate hymen. Haematocolpos usually presents with abdominal pain and swelling. In this girl back pain with urinary and bowel symptoms led to the suspicion of discitis.⇑
Cite this as: BMJ 2011;343:d7336
Patient consent obtained.