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Imperforate hymen is a rare female genital tract malformation, arises as a result of complete failure of the inferior end of the vaginal plate to canalize. We report two cases of imperforate hymen with different presentation. Our first case was a 14 year old girl presented with lower abdominal pain and acute retention of urine with history of cyclical lower abdominal pain for last 6 months. Examination revealed mass of 14 weeks gravid uterus with bulged imperforate hymen. The second case was adoi:10.5455/2320-1770.ijrcog20140965 fatcat:5b4wsytnkjcx5m4cl7my6lliri