Prenatal hydrocolpos: imaging findings and differential diagnosis.

IF 2.1 3区 医学 Q2 PEDIATRICS Pediatric Radiology Pub Date : 2024-09-01 Epub Date: 2024-07-23 DOI:10.1007/s00247-024-05990-w
Christopher L Newman, Monica M Forbes-Amrhein, Brandon P Brown, Martin Kaefer, Megan B Marine
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Abstract

Prenatal hydrocolpos is characterized by fluid distension of the vagina. Hydrocolpos can be caused by multiple underlying etiologies and often demonstrates overlapping imaging features compared to other cystic abdominal and pelvic lesions. The purpose of the current pictorial essay is to provide a systematic prenatal magnetic resonance imaging (MRI) approach to differentiating the primary etiologies leading to hydrocolpos. After discussing the fundamental embryological processes involved in vaginal development, the current essay discusses the most common causes of hydrocolpos with their associated prenatal and postnatal imaging features. An approach to distinguishing the more common differential diagnoses is provided. Given the implications of parental counseling and postnatal management, this essay provides an important approach for narrowing differential diagnoses based on prenatal imaging.

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产前肾积水:成像结果和鉴别诊断。
产前阴道积液的特点是阴道有液体膨胀。阴道积液可由多种潜在病因引起,与其他腹部和盆腔囊性病变相比,阴道积液往往表现出重叠的影像学特征。本图解文章旨在提供系统的产前磁共振成像(MRI)方法,以区分导致阴道积液的主要病因。在讨论了阴道发育所涉及的基本胚胎学过程后,本文讨论了导致阴道积液的最常见原因及其相关的产前和产后成像特征。文章还提供了区分常见鉴别诊断的方法。考虑到对父母咨询和产后管理的影响,这篇文章提供了根据产前成像缩小鉴别诊断范围的重要方法。
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来源期刊
Pediatric Radiology
Pediatric Radiology 医学-核医学
CiteScore
4.40
自引率
17.40%
发文量
300
审稿时长
3-6 weeks
期刊介绍: Official Journal of the European Society of Pediatric Radiology, the Society for Pediatric Radiology and the Asian and Oceanic Society for Pediatric Radiology Pediatric Radiology informs its readers of new findings and progress in all areas of pediatric imaging and in related fields. This is achieved by a blend of original papers, complemented by reviews that set out the present state of knowledge in a particular area of the specialty or summarize specific topics in which discussion has led to clear conclusions. Advances in technology, methodology, apparatus and auxiliary equipment are presented, and modifications of standard techniques are described. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.
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