| A Case of Neonatal Hydrometrocolpos
Accompanying Urinary Tract Obstruction |
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Kyoung Eun Lee1, Ok Yeon Cho1, Eun Jung Sim1, Do Jun Cho1, Dug Ha Kim1, Ki Sik Min1, Ki Yang Yoo1, Guan Sup Lee2 |
1Department of Pediatrics, College of Medicine, Hallym University, Chunchon, Korea
2Department of Radiology, College of Medicine, Hallym University, Chunchon, Korea |
| 요로 폐쇄를 동반한 신생아 수질자궁증 1례 |
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이경은1, 조옥연1, 심은정1, 조도준1, 김덕하1, 민기식1, 유기양1, 이관섭2 |
1한림대학교 의과대학 소아과학교실
2한림대학교 의과대학 진단방사선과학교실 |
Correspondence:
Dug Ha Kim, Email: dougkim@hallym.or.kr
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| Abstract |
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Neonatal hydrometrocolpos is the cystic dilatation of the vagina and uterus, which is caused by the combination of vaginal obstruction such as imperforate hymen, transverse vaginal septum, or vaginal atresia, and glandular secretion by maternal estrogenic stimulation. Although hydrometrocolpos is a rare congenital abnormality unlike pubertal hematocolpos, it is one of the relatively common abdominal masses in neonates. In typical cases the diagnosis may be determined easily by the combination of a pelvic mass, upper urinary tract dilatation and a bulging membrane in the vaginal introitus. The presense of a lower abdominal mass in a female infant should always arouse suspicion of hydrometrocolpos and lead to careful examination of the vagina. We report a case of neonatal hydrometrocolpos due to imperforate hymen which was initially presented as a large abdominal mass and a bulging membrane in the vaginal introitus. For 72 hrs, the abdominal mass increased rapidly, accompanied by urinary tract obstruction. It was relieved by a simple incision of the imperforate hymen and drainage of 300 cc of whitish mucoid vaginal fluid, and by Foley catheter drainage of 750 cc urine. No other anomaly was observed. |
| Key Words:
Hydrometrocolpos, Imperforate hymen, Urinary tract obstruction |
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