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IMPERFORATE HYMEN
HYDROCOLPOS
HYDROMETROCOLPOS
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Imperforate hymen is usually detected in the neonatal period when the infant
presents with a lower abdominal cystic swelling and bulging membranes at the introitus. It may present at menarchy
as cyclic abdominal pain with pelvic distention or urinary obstruction.
Although hydrocolpos and hydrometrocolpos
usually occur secondary to imperforate hymen, they may
occur independently secondary to transverse vaginal septum or vaginal or
cervical atresia (1).
The prenatal diagnosis of
hydro(metro)colpos has been
reported as early as 25 weeks' of gestation (2) although most cases are
described in the third trimester of pregnancy or after birth (3-5).
Hydrometrocolpos is a rare anomaly, but accounts
for 15% of abdominal masses in female infants, surpassed in frequency only by hydronephrosis (6).
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Classification.
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Types of hydrometrocolpos.
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Pathogenesis.
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Ultrasound.
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Complications.
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Associated Anomalies.
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Associated Syndromes.
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Differential Diagnosis.
- Westerhout
FC, Hodgman JE, Anderson GV et.al.
Congenital hydrocolpos. Am J Obstet
Gynecol 1964;89:957-961.
- Winderl LM & Silverman RK.
Prenatal diagnosis of congenital imperforate hymen. Obstet
Gynecol, 1995; 85: 857-9 Winderl
LM & Silverman RK. Prenatal diagnosis of congenital imperforate hymen.
Obstet Gynecol, 1995;
85: 857-9
- Mirk P, Pintus
C, Speca S. Ultrasound diagnosis of hydrocolpos: prenatal findings and postnatal
follow-up. J Clin Ultrasound 1994; 22: 55-8
- Odibo AO, Turner GW, Borgida AF, Rodis JF, Campbell WA.
Late prenatal ultrasound features of hydrometrocolpos
secondary to cloacal anomaly: case reports and
review of literature. Ultrasound Obstet Gynecol 1997; 9: 419-21
- Respondek-Liberska M, Krason
P, Kaczmarek P, Jedrzejczyk
S, Nowiczewski M, Chilarski
A, Chichos E. Fetal hydrometrocolpos:
not only diagnostic but also therapeutic dilemmas. Ultrasound Obstet Gynecol 1997; 11:
155-6
- Reed MH & Griscom NT. Hydrometrocolpos in infancy. AJR Am J Roentgenol 1973; 118: 1-13