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. 2013 Mar 2;16(1):37-9.
doi: 10.1007/s40477-013-0009-x. eCollection 2013.

Imperforate hymen causing congenital hydrometrocolpos

V Vitale  1 , B Cigliano, G Vallone
Affiliations

Imperforate hymen causing congenital hydrometrocolpos

V Vitale et al. J Ultrasound. .

Abstract
in English, Italian

A 3-day-old girl in good health was referred to our department for the evaluation of an abdominal mass detected at birth. Prenatal ultrasound (US) examinations had shown no anomaly. US examination revealed the presence of a hypoechoic and corpusculated cystic formation of about 8 × 5 × 4 cm located in the mid region of the abdomen. The uterus was not visible and the kidneys were normal with no sign of hydronephrosis. The ovaries were normal. Physical examination confirmed US findings revealing the presence of a curved membrane which covered the vaginal opening. Based on these findings, the patient was diagnosed to have hydrometrocolpos. Hymenectomy was performed and about 100 ml of milky fluid was subsequently removed by aspiration. The patient presented no other congenital anomalies and US follow-up showed a normal structure of the uterus.

Una neonata di 3 giorni, in buona salute, è giunta alla nostra osservazione per la valutazione di una massa addominale riscontrata alla nascita. I controlli ecografici prenatali erano negativi. L’esame ecografico ha mostrato la presenza di una formazione cistica a sede mediana ipoecogena corpuscolata di circa 8 × 5 × 4 cm. Non era visibile l’utero; i reni erano normali senza evidenza di idronefrosi. Ovaie normali. L’esame fisico della neonata, confermava il sospetto ecografico mettendo in evidenza la presenza di una membrana bombata che copriva l’introito vaginale sulla base del quale è stata fatta diagnosi di idrometrocolpo. Si è proceduto con un’imenectomia e successiva aspirazione di circa 100 ml di liquido lattescente. Non vi erano altre anomalie congenite presenti e il controllo ecografico successivo ha mostrato regolare struttura dell’utero.

Keywords: Congenital hydrometrocolpos; Imperforate hymen; Pelvic mass; Ultrasound.

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Figures

Fig. 1
Fig. 1
Longitudinal scan reveals a large hypoechoic mass in the mid region of the abdomen extending from the upper middle to the lowest region
Fig. 2
Fig. 2
Axial US scan shows the mass and the right ovary which is intact
Fig. 3
Fig. 3
Longitudinal pelvic US scan obtained after drainage
See this image and copyright information in PMC

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