ZKTB The Role of Ultrasound in the Diagnosis of Hydrometrocolpos due to Vaginal Atresia; Case Report

Giriş: Neonatal hidrometrokolpos kadın üreme yollarının gelişim defektine bağlı gelişen nadir bir anomalisidir. Yenidoğanda genellikle abdominal kitle, nadiren hidroüreteronefroz ile presente olur. Olgu: Bu yazıda 3 günlük yenidoğanda yüksek va- jinal atreziye bağlı gelişen dev hidrometrokolpos ve eşlik eden bilateral hidroüreteronefrozun sonogra- fik bulgularını sunduk. Sonuç: Ultrason abdominal kitlenin orijini ve komplikasyonlarını ortaya koyabilen önemli bir ta- nısal modalitedir.

due to Vaginal Atresia; Case Report Vajinal Atrezi Nedeniyle Gelişen Hidrometrokolpos Tanısında Ultrasonun Rolü; Olgu Sunumu

Introduction: Neonatal hydrometrocolpos is a rare anomaly of female reproductive tract secondary to failure of canalization. Newborn may present with abdominal mass and rarely with hydroureteroneph- rosis. Case: We reported sonographic features of a huge hydrometrocolpos secondary to high vaginal atresia concomitant with bilaterally hydroureteronephro- sis in a 3-day-old girl. Conclusion: Ultrasonography is essential diagnos- tic modality which brings out nature of abdominal mass and its complications. Keywords: Hydrometrocolpos; hydroureteroneph- rosis; ultrasonography; vaginal atresia

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  • 1. Ayaz UY, Dilli A, Api A. Ultrasonographic diagnosis of congenital hydrometrocolpos in prenatal and newborn period: a case report. Medical ultrasonography 2011; 13: 234-6. 2. Imamoğlu M, Cay A, Sarihan H, Koşucu P, Ozdemir O. Two cases of pyometrocolpos due to distal vaginal atre- sia. Pediatr Surg Int 2005;21(3): 217-219. 3. Ekenze SO, Ezegwui HU. Hydrometrocolpos from a low vaginal atresia: an uncommon cause of neonatal intestinal and urinary obstruction. Afr J Paediatr Surg 2008; 5(1): 43-45. 4. Nazir Z, Rizvi RM, Qureshi RN, Khan ZS, Khan Z. Congenital vaginal obstructions: varied presentation and outcome. Pediatr Surg Int 2006;22(9):749-753. 5. Vitale V1, Cigliano B, Vallone G. Imperfo- rate hymen causing congenital hydrometrocol- pos. J Ultrasound. 2013 Mar 2;16(1):37-9. doi: 10.1007/s40477-013-0009-x. eCollection 2013. 6. Sharma D, Murki S, Pratap OT, Irfan G, Kolar G. A case of hydrometrocolpos and polydactyly. Clin Med In- sights Pediatr. 2015; 9: 7–11.Published online 2015 Jan 14. doi: 10.4137/CMPed.S20787. 7. Hahn-Pedersen J, Kvist N, Nielsen OH. Hydrometro- colpos: Current views on pathogenesis and management. J Urol 1984;132: 537-540.