Cases Of Hydrometrocolpos Research Articles

Hydrometrocolpos: A Lower Mesodermal Defects Sequence

AbstractHydrometrocolpos is a rare congenital disorder, which can present prenatally or after birth. It can be isolated or associated with other abnormalities. The abnormalities associated with hydrometrocolpos can be primary or secondary. Primary abnormalities arise from disruption of embryological processes while secondary abnormalities arise from the pressure effects of the distended vagina and uterus on adjacent organs. An analysis of autopsy findings of four cases of hydrometrocolpos at our center has shown a nonrandom association of certain congenital abnormalities. These abnormalities involve structures arising from the infraumbilical intraembryonic mesoderm. A primary developmental failure or secondary disruption of normally formed tissues results in this condition called lower mesodermal defects sequence. Identification of this condition is important in prognostication and counseling parents.

Hydrometrocolpos: Diagnosis and Follow‐up by Ultrasound — A Case Report

Hydrometrocolpos is accumulation of secretions in the vagina and uterus, caused by excessive intrauterine stimulation of the infant's cervical mucous glands by maternal oestrogen in the presence of an intact hymen (Wilson et al 1978). Hydrocolpos is dilatation of the vagina proximal to a congenital obstruction. If the uterus is also dilated, the condition is called hydrometrocolpos. Most cases of hydrocolpos are associated with an imperforate hymen that forms a thin bulging membrane between the labia. Though many cases of hydrometrocolpos have been reported in literature, there is no case report which shows classical ultrasound findings and follow up ultrasound scans to show the involuted uterus. We are presenting a case report whose diagnosis was established on ultrasound. This case highlights the value of ultrasound in diagnosing this condition and excluding other associated renal anomalies.

Hydrometrocolpos and polydactyly

Two cases of hydrometrocolpos and polydactyly in female infants with persistent urogenital sinus are reported. The importance of considering hydrometrocolpos as the cause of an abdominal mass in female infants with polydactyly is stressed. Cytologic examination of the vaginal fluid may help in early diagnosis.

Diagnosis and Management of Hydrometrocolpos in Infancy

Three cases of hydrometrocolpos in infants are presented, which demonstrate that despite thorough documentation of the clinical findings, the misdiagnosis and the ensuing mismanagement of this condition remain a problem. The presence of other genitourinary abnormalities and the association with anomalies of the anorectal area make it imperative that these infants be evaluated, treated and followed by clinicians who are skilled in these areas. Introital revision may proceed at an early age to avoid the necessity of repeated drainage procedures and allow normal voiding but close followup is necessary.