Abstract
INTRODUCTION AND IMPORTANCE: Acute urinary retention (AUR) is uncommon in pediatric and adolescent populations, particularly among females. To highlight the presentation of AUR as a symptom of hematocolpos due to an imperforate hymen in a 15-year-old girl. CASE PRESENTATION: A 15-year-old girl presented with AUR and lower abdominal pain, which led to the diagnosis of hematocolpos. CLINICAL DISCUSSION: This case underscores clinicians' need to consider gynecological conditions in adolescent females with urinary retention. Early diagnosis and prompt surgical intervention are crucial to prevent complications, such as hydronephrosis and renal damage. CONCLUSION: Clinicians should have a heightened awareness of this rare but significant cause of AUR, particularly in patients with a history of primary amenorrhea and cyclic abdominal pain.