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Congenital Hydrocolpos: Diagnostic Journey and Management—A Case Report

  • Alokananda RayEmail author
  • Sarita Kumari
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Congenital hydrocolpos is cystic distention of the vagina, secondary to vaginal obstruction with an estimated occurrence of 1 in 16,000 female births [1]. It may be an isolated finding or may be associated with persistent urogenital sinus or cloacal dysgenesis. After birth, delay in diagnosis and management can be life-threatening with associated sepsis, renal failure or intestinal obstruction [2].

A 30-year-old third gravida with one previous caesarean section (LSCS) was referred to our hospital at 36 weeks of gestation. Her previous antenatal visits were unremarkable, and all her antenatal scans (NT/NB screening, anomaly and growth scans) were normal.

On admission to our centre, a foetal ultrasound revealed a midline retro-vesicular mass of 7 × 5 cm with fluid debris level (Fig.  1). Pressure effect of the mass was resulting in bilateral hydro-ureter and moderate renal pelvic dilatation. The amniotic fluid index was 12 cm. Differential diagnosis at this point included hydrocolpos,...

Notes

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Human and Animal Rights Statement

All procedures performed involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Tilahun B, Woldegebriel F, Wolde Z, Tadele H. Hydrometrocolpos presenting as a huge abdominal swelling and obstructive uropathy in a 4 day old newborn: a diagnostic challenge. Ethiop J Health Sci. 2016;26(1):89–91.CrossRefGoogle Scholar
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    Singh AP, Gupta AK, Pardesi R, Raipuria G. Hydrocolpos caused by imperforate hymen in a preterm newborn. Saudi J Med Med Sci. 2019;7(2):124–5.CrossRefGoogle Scholar
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    Nagaraj BR, Basavalingu D, Paramesh VM, Nagendra PDK. Radiological diagnosis of neonatal hydrometrocolpos—a case report. J Clin Diagn Res. 2016;10(3):TD18–TD19.PubMedPubMedCentralGoogle Scholar

Copyright information

© Federation of Obstetric & Gynecological Societies of India 2019

Authors and Affiliations

  1. 1.Department of Obstetrics and GynaecologyTata Main HospitalJamshedpurIndia

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