BMJ 2011; 343 doi: https://doi.org/10.1136/bmj.d7336 (Published 16 November 2011) Cite this as: BMJ 2011;343:d7336
  1. Lotte Harleman, ST3 paediatrics,
  2. Jon Staines, consultant paediatrician
  1. 1Crosshouse Hospital, Kilmarnock KA2 0BE, UK
  1. lotteharleman{at}hotmail.com

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


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