All issues > Volume 45(2); 2002

Case Report

J Korean Pediatr Soc. 2002;45(2):278-283. Published online February 15, 2002.

Two Cases of Hydrometrocolpos in Neonate

Min Young MY Park¹, Bo Ra BR Son¹, So Young SY Kim¹, Young You YY Kim¹, Hyun Hee HH Kim¹, Won-Bae WB Lee¹, In Kyung IK Sung¹, Chung Sik CS Chun¹, Su Aa SA Lim²

¹Department of Pediatrics, Medical College, The Catholic University of Korea, Seoul, Korea
²Department of Radiology, Medical College, The Catholic University of Korea, Seoul, Korea

Correspondence Hyun Hee HH Kim ,Email: hhkim@hfh.cuk.ac.kr

Abstract

Imperforated hymen, vaginal atresia or high transverse vaginal septum are caused by incomplete vaginal canalization. The infant may be present with distention of the vagina and the uterus with glandular secretions stimulated by maternal estrogens, known as hydrometrocolpos. We report two cases of hydrometrocolpos. In the first case, distal vaginal atresia with cystovaginal fistula was revealed by a contrast fluoroscope through the percutaneous catheterization. In the second case, urogenital sinus was detected by a fistulogram through a single orifice in the genital area. We decompressed the cystic mass by ultrasonogram guided aspiration, promptly at birth, then achieved the transient drainage of cystic fluids by percutaneous catheterization.

Keywords :Hydrometrocolpos, Vaginal atresia, Urogenital sinus