AI Article Synopsis
- A 13-year-old girl experienced chronic lower back pain for 6 months, which was her only symptom.
- Physical examination revealed muscle trigger points, and an ultrasound showed hematometrocolpos due to an imperforate hymen.
- After undergoing a hymenectomy, the girl's back pain resolved completely, suggesting a connection between myofascial pain syndrome and her condition.
Article Abstract
Imperforate hymen in an adolescent usually presents with cyclic abdominal pain or with pelvic mass associated with primary amenorrhea. We present a 13-year-old girl with chronic lower back pain of 6 months' duration as the only complaint. On physical examination, multiple trigger points were detected in the quadratus lumborum and gluteus medius muscles bilaterally. Abdominal ultrasound revealed hematometrocolpos secondary to an imperforate hymen. Hymenectomy was performed, with complete resolution of the back pain. Myofascial pain syndrome with a viscerosomatic reflex is a possible explanation for the clinical presentation of our patient.
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| http://dx.doi.org/10.1542/peds.2012-1040 | DOI Listing |
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