OmniView-VCI is a reliable method for pelvic hiatal area measurement. Further studies are needed to assess its reliability under contraction and the Valsalva maneuver and to evaluate its usefulness and reproducibility for diagnosis of levator ani lesions.

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Introduction: Imperforate hymen is a rare condition but it is the most frequent obstructive anomaly of the female lower genital tract. In most cases the diagnosis is missed in childhood and is made after puberty when the patient presents with haematocolpos and heamatometra. The patient presented with uncommon symptoms of urinary retention apart from delayed menarche and pain. Patient: Here we present a 14-year-old girl who presented with lower abdominal pain and acute urinary retention. Intervention: She was diagnosed clinically and by ultrasound as imperforate hymen with haematocolpus. She was treated by a virginity preserving hymenotomy. Conclusion: This case is presented to address clinicians the possibility of imperforate hymen as a differential diagnosis in acute urinary retention and the ultrasound diagnoses of imperforate hymen.

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Obstetrician should be aware of the diagnosis of abnormal pregnancy whether cesarean ectopic or early placenta accreta and considers evaluation of scar with ultrasound. We present a patient with this condition that was accurately diagnosed and appropriately treated.