A rare case of hematometrocolpos is presented in a 14 years old female with known common cloacal malformation. It presented as a slowly growing tender pelvic mass. Ultrasound and CT scan of the pelvis revealed vagina and uterus filled with blood. A diagnosis of hematometrocolpos was made. Per-operatively multiple adhesions were found in the pelvis necessitating the removal of blood-filled uterus.
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