We report the prenatal sonographic diagnosis of hydrometrocolpos caused by an imperforate hymen in a Down syndrome fetus, with spontaneous evacuation on the third day of life. In this case, sonographic evaluation in the 37th week revealed a large retrovesical, sharply marginated, heterogeneous, unilocular cystic structure within the fetal abdomen extending to the left side of the umbilicus.
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Hydrometrocolpos (HMC) is a rare pediatric condition characterized by significant enlargement of the uterus and vagina due to the accumulation of fluid, generally caused by a blockage in the lower vagina. This disorder typically presents in newborns with the retention of normal genital tract secretions. The following case report highlights the clinical features, diagnostic process, and treatment of HMC in a newborn.
View Article and Find Full Text PDFPrenatal diagnosis of isolated fetal hydrometrocolpos: A case report.
Radiol Case Rep
December 2024
Obstetrics and Gynecology Department, University Hospital Farhat Hached of Sousse, University of Sousse, Sousse, Tunisia.
Article Synopsis
- Hydrometrocolpos (HMC) is a rare condition where fluid accumulates in the vagina and uterus due to blockage, often associated with an imperforate hymen.
- A case study details the prenatal diagnosis of isolated HMC in a 30-year-old woman at 36 weeks of pregnancy, identified through ultrasound and confirmed by fetal MRI.
- After birth, the infant was diagnosed with both HMC and an imperforate hymen, which was successfully treated with a procedure called hymenotomy, emphasizing the significance of prenatal imaging for early detection and management of this condition.
Persistent Urogenital Sinus Leading to Hydrometrocolpos in a Female Child With Features of McKusick-Kaufman Syndrome.
Cureus
June 2024
Pediatrics, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University) Pimpri, Pune, IND.
Persistent urogenital sinus (PUGS) presents as a solitary abnormality or is in association with syndromes, such as congenital adrenal hyperplasia (CAH), VACTERL association (common abbreviation for vertebral defects, anal atresia, cardiac defects, tracheoesophageal fistula, renal anomalies, and limb abnormalities), Bardet-Beidl syndrome, McKusick-Kaufman syndrome (MKS), and Townes-Brocks syndrome, to name a few. Those affected usually have overlapping phenotypic features of two or more syndromes. Because such children may grow up to be intellectually challenged with multiple other anomalies including gonadal hyperplasia, congenital heart defects, and sensorineural hearing loss, antenatal diagnosis becomes important.
View Article and Find Full Text PDFReproductive health challenges of an African school girl: a case report on non-bulging imperforate hymen with haematocolpometra during Covid-19 pandemic.
Afr Health Sci
September 2023
Department of Obstetrics and Gynaecology, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Article Synopsis
- - Several schoolgirls face undiagnosed gynecological issues, such as precocious puberty and reproductive tract abnormalities, leading to physical and psychological challenges, especially as they reach reproductive age.
- - A case study of a 14-year-old girl during the COVID-19 pandemic revealed that she suffered from acute pelvic pain due to an imperforate hymen, which required surgical intervention.
- - Conclusions suggest that a wider surgical approach during hymenectomy is more effective in preventing complications, highlighting the need for community education and timely diagnosis to address the implications of such conditions in African cultures.
Hydrometrocolpos: antenatal diagnosis and postnatal management.
BMJ Case Rep
December 2023
Medical Genetics, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Hydrometrocolpos is a rare finding in newborns. It can be an isolated finding or may be associated with syndromes. Antenatal diagnosis is possible.
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