Antenatal ultrasound diagnosis of huge fetal hydrometrocolpos secondary to imperforate hymen and successful postnatal treatment: a case report

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY Case Reports in Perinatal Medicine Pub Date : 2023-01-01 DOI:10.1515/crpm-2023-0019
Mequanint Melesse Bicha, Zelalem Ayichew Workneh
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Abstract

Abstract Objectives Hydrometrocolpos is a pelvic cystic mass representing the distension of the vagina and uterus due to obstructive congenital anomalies of the female causing accumulation of fluid secretions in the vagina and endometrial cavity. Prenatal diagnosis is uncommon and usually noticed during the adolescent period for failure to see menses with cyclic abdominal pain, abdominal mass, and local compressive symptoms. Late diagnosis after delivery of newborns with this condition results in poor outcomes from local compressive symptoms. Case presentation Here, we present a case diagnosed with congenital hydrometrocolpos at 39 weeks of gestation during routine third-trimester ultrasound scanning. The newborn was delivered vaginally and huge hydrometrocolpos secondary to imperforate hymen was diagnosed postnatally, and a hymenectomy was done and the newborn was discharged and improved from the hospital. Conclusions Although congenital hydrometrocolpos occurs rarely, it is also better to suspect prenatally in a female fetus with a cystic pelvic mass. Antenatal ultrasound diagnosis of this condition will help to make decisions early and to prevent further complications which might occur both intrauterine and after birth.
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继发于处女膜闭锁的巨大胎儿子宫积水的产前超声诊断及产后成功治疗1例
【摘要】目的子宫积水是一种盆腔囊性肿块,表现为女性先天性梗阻性异常导致阴道和子宫扩张,引起阴道和子宫内膜腔内积液。产前诊断是罕见的,通常在青少年时期注意到没有看到月经周期腹痛,腹部肿块,和局部压缩症状。新生儿分娩后的晚期诊断导致局部压迫症状的不良结果。在这里,我们提出了一个病例诊断为先天性水性结肠在妊娠39周的常规孕晚期超声扫描。新生儿顺产,产后诊断为继发于处女膜闭锁的巨大阴道积液,行处女膜切除术,新生儿出院好转。结论先天性子宫积水虽罕见,但对女性胎儿盆腔囊性包块的诊断仍需谨慎。这种情况的产前超声诊断将有助于及早做出决定,并防止可能在宫内和出生后发生的进一步并发症。
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来源期刊
Case Reports in Perinatal Medicine
Case Reports in Perinatal Medicine OBSTETRICS & GYNECOLOGY-
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发文量
37
期刊介绍: Case Reports in Perinatal Medicine is a double-blind peer-reviewed journal. The objective of the new journal is very similar to that of JPM. In addition to evidence-based studies, practitioners in clinical practice esteem especially exemplary reports of cases that reveal specific manifestations of diseases, its progress or its treatment. We consider case reports and series to be brief reports describing an isolated clinical case or a small number of cases. They may describe new or uncommon diagnoses, unusual outcomes or prognosis, new or infrequently used therapies and side effects of therapy not usually discovered in clinical trials. They represent the basic concept of experiences for studies on representative groups for further evidence-based research. The potential roles of case reports and case series are: Recognition and description of new diseases Detection of drug side effects (adverse or beneficial) Study of mechanisms of disease Medical education and audit Recognition of rare manifestations of disease.
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