title: An unusual cause of anuria and hydronephrosis in a 12-year-old girl.
abstract: A 12-year-old girl was admitted for abdominal pain and signs of acute kidney injury. Physical examination showed abdominal distension and a tumefaction in the lower abdomen. Laboratory and clinical findings were consistent with acute kidney injury. Abdominal ultrasonography showed an oval mass, which corresponded with hematometrocolpos, and right-sided hydronephrosis. Catheterization followed by cruciate hymenectomy was performed. The patient recovered completely. Imperforate hymen is an obstructive anomaly of the female reproductive tract of unknown etiology that can cause a variety of symptoms. It is a rare, but possible cause of acute kidney injury. Patient history data and genital examination findings are sufficient to establish the diagnosis. Abdominal ultrasonography is the most useful diagnostic modality.
authors.affiliation: Department of Surgery and Urology, Zabok General Hospital, Zabok, Croatia.
authors.forename: Dino
authors.initials: D
authors.lastname: Papeš
authors.forename: Nuhi
authors.initials: N
authors.lastname: Arslani
authors.forename: Zoran
authors.initials: Z
authors.lastname: Rajković
authors.forename: Silvio
authors.initials: S
authors.lastname: Altarac
authors.forename: Miroslav
authors.initials: M
authors.lastname: Kopjar
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology*; D001002:Anuria / Q000209:etiology*; D002648:Child; D005260:Female; D006399:Hematocolpos / Q000150:complications*; D006409:Hematometra / Q000150:complications*; D006801:Humans