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rhagic cystitis. Her abdominal pain was severe; it lasted two weeks at a time and recurred about every six weeks and she lost 10kg in weight. For several months her pain was dis-missed as psychosomatic. Eventually, after 18 months, she was seen by a gynaecologist who recognised the problem for what it was. Externally the vagina was represented by a dimple and internally it was atretic. The left fallopian tube, uterus, and cervix were distended with old blood. The ovaries were normal. After full discussion with the patient and her parents a hysterectomy was carried out with subsequent relief of symp-toms.