2. Case presentation
• A patient Rajanti d/o Dinu ram 13 years old girl, residence of Brindavan colony
Jagdalpur, unmarried, student came on 25/11/2022 in gynae. OPD with chief
complain of:
Pain and itching on vulval region since 3 days.
Abdominal distention since 3 days.
Not passing stool since 2 days.
Vomiting 2-3 times since 1 days.
Urinary retention since night
3. History of present illness
Patient was apparently alright 3 days back then she started experiencing itching along
with pain which was dull in nature increased gradually over the days in vulval region also
associated with abdominal distention which relieved after micturition and medication.
Then after 2 days she also started experiencing vomiting non projectile in nature 2-3
times a day aggarvated during abdominal pain.
• No h/o features suggestive of UTI
• No h/o fever
• No h/o
Menstrual history: not yet attain.
Past history: no h/o similar complain.
Medical and surgical history: no h/o any other illness or surgery and no h/o blood
transfusion.
4. Personal history: Vegetarian, no addiction, bladder and bowel habits
are normal.
Family history: non
On examination: patient is conscious and oriented, BP:- 110/70,
Pulse:- 94, pallor:- present, icterus (-), oedema (-), RS/CVS:- NAD
Per abdomen: 26 weeks size of mass present corresponding to gravid
uterus, tenderness present.
Local examination: A budging bluish white membrane seen on the
vaginal opening.
