Hematocolpos - An unusual cause of sciatica in an adolescent girl

Study Design. A case report. Objective. To document the occurrence of hematocolpos causing sciatica and leg weakness in an adolescent girl. Summary of Background Data. Low back pain resulting from hematocolpos has been reported previously but not associated with symptoms of sciatica or neurologic weakness. Methods. The authors were involved in the care of this patient, and all medical records, radiologic investigations, and related literature were reviewed. Results. After being checked for longstanding symptoms of sciatica and leg weakness, the patient underwent a computed tomographic examination of lumbar spine, which showed a large collection in the pelvis consistent with hematocolpos. Surgical drainage of the collection was associated with complete resolution of her symptoms. Conclusions. Awareness of hematocolpos as a possible cause for sciatica and neurologic symptoms in the lower limbs may lead to earlier diagnosis and, therefore, reduced morbidity in the investigation of the adolescent girl.