Antenatal diagnosis of hydrometrocolpos by ultrasound examination.

Davis, G H; Wapner, Ronald J.; Kurtz, A B; Chhibber, Geeta; Fitzsimmons, Jack; Blocklinger, A

doi:10.7863/jum.1984.3.8.371

Cited by 26 publications

(9 citation statements)

References 1 publication

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“…4 Vaginal obstruction and accumulation of fluid in the genital tract leads to distension of the vagina and uterus. [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] There is a pear-shaped cystic mass with fluid-debris level between the bladder and the rectum. 5 In the reported cases of hydrometrocolpos secondary to isolated congenital imperforate hymen, the prenatal US findings have been well described.…”

Section: Discussionmentioning

confidence: 99%

Fetal hydrometrocolpos and congenital imperforate hymen: Prenatal and postnatal imaging features

Rodríguez

Gonzalez

Delgado

et al. 2018

J of Clinical Ultrasound

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Congenital imperforate hymen is probably the most common obstructive anomaly of the female reproductive tract. The accumulation of fluid in the genital tract leads to a distended uterus and vagina, causing hydrometrocolpos. Prenatal diagnosis of fetal hydrometrocolpos is uncommon, with only 22 cases reported in the literature and only a few cases of prenatal imaging of this condition available to date. The main ultrasound finding is a fetal pelvic mass posterior to the bladder and anterior to the rectum. We present the case of a 37-week female fetus with a fetal pelvic mass detected in a routine obstetric ultrasound examination, and the correlation between the prenatal and postnatal findings.

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Section: Discussionmentioning

confidence: 99%

Fetal hydrometrocolpos and congenital imperforate hymen: Prenatal and postnatal imaging features

Rodríguez

Gonzalez

Delgado

et al. 2018

J of Clinical Ultrasound

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“…Clinical forms due to an imperforate hymen classically appear as an oblong anechoic mass on sagittal view, posterior to the fetal bladder and perineum. They are associated with fluid or other debris and, when isolated, are generally aseptate6–11. When associated with a urogenital sinus, they are generally septate although there are exceptions12.…”

Section: Discussionmentioning

confidence: 99%

Fetal magnetic resonance imaging in the antenatal diagnosis and management of hydrocolpos

Picone

Laperelle

Sonigo

et al. 2007

Ultrasound in Obstet & Gyne

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Hydrocolpos should be considered systematically when an abdominopelvic cystic mass is diagnosed in a female fetus. Because the prognosis and neonatal management of isolated hydrocolpos with spontaneous resolution differs greatly from that of hydrocolpos associated with a cloacal CASE REPORTS Case 1A 37-year-old woman with three previous normal pregnancies underwent ultrasound examination at 33 weeks' gestation. An anechoic pelvic mass of 10 × 6 × 5 cm behind the fetal bladder was seen (Figure 1a). Further examination revealed pyelectasis of the left kidney (12-mm dilatation of the renal pelvis), right kidney agenesis and a single umbilical artery. Magnetic resonance imaging (MRI) was performed at 34 weeks. T1-weighted (TORSO coil; field of view (FOV) 36 × 36; 5.0 ThK/2.5 sp; FSE TR 8000 TE 125) and T2-weighted (TORSO coil; FOV 42 × 42; 5.0 thK/0.5 sp; FSPGR/60TR 150 TE min) sequences were obtained on a Sygma 1.5-T SYS-GEMS unit, in the frontal, coronal and sagittal planes. A cystic mass between the bladder and rectum was identified, which appeared hyperintense on T2 sequences and hypointense on T1 sequences. Visualization of a fluid-filled uterus above the mass (Figure 1b) led to the diagnosis of hydrometrocolpos. Pyelectasis was thought to have resulted from compression by the cystic mass. Cloacal malformations were ruled out because the T1 sequence showed normal intrarectal meconium and neither digestive dilatation nor enterolithiasis. At 36 weeks, worsening pyelectasis prompted us to deliver the 2600-g girl by Cesarean section. She was transferred to a pediatric surgery center and the hydrocolpos resolved spontaneously on the day after delivery. Ultrasound examination revealed heterogeneous mostly fluid materials in the pelvic collection, and moderate pyelectasis of the left kidney that disappeared on day 2. The final diagnosis was hydrometrocolpos due to an imperforate hymen, and it evacuated spontaneously after birth. The infant underwent surgical intervention at 2 months of age for an ovarian hernia. Vaginoscopy at that time showed a normal vagina and a single uterine cervix, but the hymen opening was very small and difficult to see. Uterine malformation (the incidence of which is known to be increased in women with renal agenesis) could not be ruled out. Case 2A 30-year-old woman in her first pregnancy was diagnosed with polyhydramnios at 27 weeks. No fetal abnormalities were observed, diabetes mellitus was ruled

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“…Unless this finding is present, a precise diagnosis is reported not to be possible by sonography. However, the finding of a perineal involvement is considered to be quite specific, and several authors have reported the antenatal diagnosis of mucometrocolpos [Davis et al, 1984;Hill and Hirsch, 1985, Boulot et al, 19911. In the present case, necropsy only allowed the diagnosis of mucometrocolpos.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic problems in a case with mucometrocolpos, polydactyly, congenital heart disease, and skeletal dysplasia

et al. 1996

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Mucometrocolpos is the distention of the uterus and vagina caused by obstruction to the drainage of genital secretions. Although most cases of mucometrocolpos are sporadic, it may be part of an autosomal recessive condition, known as McKusick-Kaufman syndrome (MKS), including postaxial polydactyly and congenital heart disease as main findings. The diagnosis may be difficult when the presence of additional findings creates an overlap with other syndromes. We report on a female infant with mucometrocolpos, postaxial polydactyly, congenital heart disease, short limbs, short ribs, and chest constriction. The clinicopathological findings are described and discussed in the context of the phenotypic spectrums of MKS and mucometrocolpos concomitant with Ellis van Creveld syndrome.

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Antenatal diagnosis of hydrometrocolpos by ultrasound examination.

Cited by 26 publications

References 1 publication

Fetal hydrometrocolpos and congenital imperforate hymen: Prenatal and postnatal imaging features

Fetal hydrometrocolpos and congenital imperforate hymen: Prenatal and postnatal imaging features

Fetal magnetic resonance imaging in the antenatal diagnosis and management of hydrocolpos

Diagnostic problems in a case with mucometrocolpos, polydactyly, congenital heart disease, and skeletal dysplasia

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