CASE REPORT
Imperforate hymen with renal complications? A case of 2-day-old patient with hydrometrocolpos
More details
Hide details
1
Student Scientific Association, Department of Paediatric and Adolescent Gynaecology, Medical University, Lublin, Poland
2
Department of Paediatric and Adolescent Gynaecology, Children’s University Hospital, Lublin, Poland
3
Paediatric Anaesthesiology and Intensive Care, Children’s University Hospital, Lublin, Poland
4
Laboratory of Genetic Diagnostics, Children’s University Hospital, Lublin, Poland
5
Department of Paediatric Surgery and Traumatology, Children’s University Hospital, Lublin, Poland
Corresponding author
Marcelina Podleśna
Student Scientific Association at the Department of Pediatric and Adolescent Gynecology, Medical University of Lublin, Poland.
KEYWORDS
TOPICS
ABSTRACT
Hydrometrocolpos as is a rare condition in female newborns which leads to the accumulation of fluid above the obstruction.
Its most common causes are imperforated hymen or vaginal abnormalities.
A premature baby born at 33+2 weeks was found to have generalized body oedema. Foetal MRI revealed hydrometrocolpos
with imperforated hymen and ureteral compression, which led to dilatation of the left renal pelvis. USG (ultrasonography)
revealed that the patient also had free fluid in the abdominal cavity. A significantly enlarged vagina and uterus was seen
extending to the bottom of the stomach. The patient was qualified for surgery, which involved incising the hymen and
evacuating the watery-mucus contents of the vagina. Early diagnosis of hydrometrocolpos using ultrasound or MRI is crucial
to detect other serious abnormalities.
REFERENCES (10)
2.
Grant A, Carpenter CP, Li B, et al. Hydrometrocolpos: A Contemporary Review of the Last 5 Years. Curr Urol Rep. 2023;24(12):601–610.
https://doi.org/10.1007/s11934....
3.
Garcia Rodriguez R, Pérez González J, Garcia Delgado R, et al. Fetal hydrometrocolpos and congenital imperforate hymen: Prenatal and postnatal imaging features. J Clin Ultrasound. 2018;46(8):549–552.
https://doi.org/10.1002/jcu.22....
4.
Elsherbeny M, Abdelhay S, Mousa M. Neonatal Single-Stage Surgical Management of Complicated Distal Vaginal Atresia: Revisiting an Appropriate and Feasible Technique. J Pediatr Adolesc Gynecol. 2024;37(1):63–66.
https://doi.org/10.1016j.jpag.....
5.
Khalil T, Syed F, Elaasser B, et al. Hydrometrocolpos With Polydactyly in Consanguineous Parents: A Case Report and Review of Literature. Cureus. 2023;15(2):e34880.
https://doi.org/10.7759/cureus.
6.
Khanke S, Agrawal A, Toshniwal V, et al. McKusick-Kaufman Syndrome: A Case Report With an Emphasis on Perinatal Diagnosis and Genetic Counseling. Cureus. 2023;15(4):e37808.
https://doi.org/10.7759/cureus....
9.
Mátrai Á, Teutsch B, Váradi A, et al. First-Trimester Influenza Infection Increases the Odds of Non-Chromosomal Birth Defects: A Systematic Review and Meta-Analysis. Viruses. 2022;14(12):2708–2724.
https://doi.org/10.3390/v14122....
10.
Chen MC, Chang YL, Chao HC. Hydrometrocolpos in Infants: Etiologies and Clinical Presentations. Children (Basel). 2022;9(2):219–228.
https://doi.org/10.3390/childr....