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Similar Publications

Prenatal 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.
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Fetal abdomino-pelvic cystic lesions are uncommon and can have varied etio-pathogenesis. Most commonly they originate from the gastrointestinal or genitourinary tract. These include choledochal cyst, hydronephrosis, renal cyst, mesenteric/omental cyst, ovarian cyst, meconium pseudocyst, and hydrocolpos/hydrometrocolpos among others.

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McKusick-Kaufman syndrome is a rare genetic disorder that affects limb development, genital formation, and heart function. It is caused by mutations in the gene on chromosome 20. Individuals with this condition may have extra fingers or toes, fused labia or undescended testes, and, less commonly, severe heart defects.

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Imaging in fetal genital anomalies.

Eur J Obstet Gynecol Reprod Biol

April 2023

Prenatal Diagnosis Unit, Department of Obstetrics, HGU Santa Lucía, Cartagena, Spain.

Genital anomalies are a heterogeneous group of congenital pathologies that have become increasingly relevant since the Chicago Consensus of 2005. Their postnatal diagnosis has developed significantly in the last two decades, while prenatal diagnosis seems to be underdeveloped, with few protocols available, fragmented scientific literature, and low diagnostic rates. This review aims to examine the current status of this subspecialty from the perspective of prenatal imaging.

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Hydrometrocolpos is a pelvic cystic mass representing the distension of the vagina and uterus due to a lower genital tract obstruction causing accumulation of utero-cervical-vaginal secretions or urine in the vagina and endometrial cavity. Prenatal diagnosis is uncommon and differential diagnosis of the underlying etiologies is quite challenging in the prenatal period. We present three cases of female fetuses with hydrometrocolpos and discuss the prenatal differential diagnoses in the light of ultrasound findings along with postnatal diagnoses and outcomes.

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