Imperforate Hymen Presenting with Regular Menses… A diagnostic dilemma

Mullerian anomalies are rare and one among them is uterus didelphys with unilateral imperforate hymen associated with unilateral renal agenesis. A 15year old girl presented to our emergency department with urinary retention. On evaluation, she was diagnosed to have uterus didelphys with imperforate hymen on the right side leading to hematocolpos and hematometra on the right side causing urinary retention and also associated with unilateral renal agenesis. Patient was catheterised and urine from bladder drained. Excision of vaginal septum was performed and hematometra drained.