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Photo Quiz

Palpable Mass in a 12-year-old Girl With Abdominal Pain

Courtney Humphrey, MD
Michael Scholl, MD

American Family Physician. 2025;112(2):203-204.

Author disclosure: No relevant financial relationships.

COURTNEY HUMPHREY, MD, FAAFP, and MICHAEL SCHOLL, MD, St. Luke’s Family Medicine Residency, Bethlehem, Pennsylvania

Address correspondence to Courtney Humphrey, MD, at Courtney.Humphrey@sluhn.org.

Author disclosure: No relevant financial relationships.

  1. 1.Pfeifer SM, Attaran M, Goldstein J, et al. ASRM müllerian anomalies classification 2021. Fertil Steril. 2021;116(5):1238-1252.
  2. 2.Tardieu SC, Appelbaum H. Microperforate hymen and pyocolpos: a case report and review of the literature. J Pediatr Adolesc Gynecol. 2018;31(2):140-142.
  3. 3.Diagnosis and management of hymenal variants: ACOG committee opinion, number 780. Obstet Gynecol. 2019;133(6):e372-e376.
  4. 4.Management of acute obstructive uterovaginal anomalies: ACOG committee opinion, number 779. Obstet Gynecol. 2019;133(6):e363-e371.
  5. 5.Williams CE, Nakhal RS, Hall-Craggs MA, et al. Transverse vaginal septae: management and long-term outcomes. BJOG. 2014;121(13):1653-1658.
  6. 6.Practice Committee of the American Society for Reproductive Medicine. Current evaluation of amenorrhea: a committee opinion. Fertil Steril. 2024;122(1):52-61.
  7. 7.Brucker SY, Rall K, Campo R, et al. Treatment of congenital malformations. Semin Reprod Med. 2011;29(2):101-112.

The editors of AFP welcome submissions for Photo Quiz. Guidelines for preparing and submitting a Photo Quiz manuscript can be found in the Authors' Guide at https://www.aafp.org/afp/photoquizinfo. To be considered for publication, submissions must meet these guidelines. Email submissions to afpphoto@aafp.org.

This series is coordinated by John E. Delzell Jr., MD, MSPH, associate medical editor.

A collection of Photo Quiz published in AFP is available at https://www.aafp.org/afp/photoquiz.

Previous article
Oakland Score for Predicting Safe Discharge and Major Risks After Lower Gastrointestinal Bleeding
Aug 2025
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Difficulty Swallowing

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