Document Detail

Prenatal diagnosis of isolated fetal hydrocolpos secondary to congenital imperforate hymen.
MedLine Citation:
PMID:  18567566     Owner:  NLM     Status:  MEDLINE    
A 32-year-old primigravida was referred to our hospital at 36 weeks of gestation with a fetal pelvic mass. Ultrasonography showed the fluid-filled area to be a 9 x 4 x 5-cm pear-shaped retrovesical mass with a funnel-shaped blind pouch at the distal end of the fetal vagina. Marked left hydronephrosis resulting from mass compression was also detected. Fetal magnetic resonance imaging further defined a pelvic lesion extending cephalically into the abdomen and caudally into the vagina. Membranal protrusion of the introitus was clearly identified. Therefore, the diagnosis of congenital imperforate hymen with hydrocolpos was established. At 38 weeks of gestation, a 2,966-g female infant was delivered vaginally with good Apgar scores. Physical examination of the neonate revealed a bulging membrane covering the vaginal opening. The presence of syndromic disorders (McKusick-Kaufman, Ellis-van Creveld or Bardet-Biedl syndromes), genitourinary and anorectal anomalies were excluded. The karyotype was 46,XX. A hymenotomy was performed on the second day of life. The infant recovered fully after hymenotomy.
Jenn-Jhy Tseng; Jason Yen-Ping Ho; Wen-Hsien Chen; Min-Min Chou
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of the Chinese Medical Association : JCMA     Volume:  71     ISSN:  1726-4901     ISO Abbreviation:  J Chin Med Assoc     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-23     Completed Date:  2008-09-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101174817     Medline TA:  J Chin Med Assoc     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  325-8     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Taichung Veterans General Hospital, Taichung, Taiwan, ROC.
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MeSH Terms
Hydrocolpos / diagnosis*
Hymen / abnormalities*,  ultrasonography
Infant, Newborn
Magnetic Resonance Imaging
Prenatal Diagnosis*
Ultrasonography, Prenatal

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