Prenatal diagnosis of isolated fetal hydrometrocolpos: A case report.

Radiol Case Rep

Obstetrics and Gynecology Department, University Hospital Farhat Hached of Sousse, University of Sousse, Sousse, Tunisia.

Published: December 2024

AI 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.

Article Abstract

A rare congenital condition known as hydrometrocolpos (HMC) is characterized by the buildup of secretions in the vagina and uterus as a result of distal obstruction; this condition is frequently linked to imperforate hymen. This case report presents a prenatal diagnosis of isolated HMC in a 30-year-old primigravida, detected at 36 weeks gestation. Initial ultrasound revealed a large cystic mass, confirmed by fetal magnetic resonance imaging to be HMC. Postnatal examination of the new born confirmed imperforate hymen and HMC, which was effectively treated with hymenotomy, resulting in early resolution. This case underscores the importance of prenatal imaging in the early identification and management of HMC to prevent potential complications.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11456795PMC
http://dx.doi.org/10.1016/j.radcr.2024.08.150DOI Listing

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