Q:

An 18 year old girl with primary amenorrhea complains of severe abdominal pain every 4-8weeks which is now getting worse. Exam: lower abdominal mass is felt. What is the most probable diagnosis?

waelhammad
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2022-11-03
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An 18 year old girl with primary amenorrhea complains of severe abdominal pain every 4-8weeks which is now getting worse. Exam: lower abdominal mass is felt. What is the most probable diagnosis?

  1. Ectopic pregnancy
  2. Ovarian carcinoma
  3. Hematometrium
  4. Biliary colic
  5. Renal carcinoma
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waelhammad
2022-11-03
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The key is C. Hematometrium. [Primary amenorrhea and periodic pain indicate hematometrium

either secondary to imperforated hymen or vaginal septum].

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