Skip to main content
Log in

Ultrasound-Guided Percutaneous Drainage of Neonatal Pyometrocolpos Under Local Anesthesia

  • Case Report
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript


Hydrometrocolpos is an uncommon congenital disorder with cystic dilatation of the vagina and uterus that occurs as a result of accumulated secretions from the reproductive tract due to distal genital tract obstruction. Secondary infection may also occur, resulting in pyometrocolpos, a potentially lethal disease. Immediate drainage of the cystic mass in patients determined to have pyometrocolpos is required to prevent or treat uropathy and septicemia until definitive corrective surgery can be performed. We report an unusual cause of obstructive uropathy in three infants: pyometrocolpos due to lower genital tract atresia. Ultrasound-guided percutaneous drainage of the pyometrocolpos resulted in dramatically improved clinical and laboratory findings in these patients. Ultrasound-guided percutaneous drainage under local anesthesia is a simple, minimally invasive, safe, and effective procedure that facilitates later successful corrective surgery and avoids the need for more complex drainage procedures.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

Similar content being viewed by others


  1. Liu YP, Chen CP (2009) Fetal MRI of hydrometrocolpos with septate vagina and uterus didelphys as well as massive urinary ascites due to cloacal malformation. Pediatr Radiol 39:877

    Article  PubMed  Google Scholar 

  2. Nazir Z, Rizvi RM, Qureshi RN et al (2006) Congenital vaginal obstructions: varied presentation and outcome. Pediatr Surg Int 22:749–753

    Article  PubMed  Google Scholar 

  3. Imamoglu M, Cay A, Sarihan H et al (2005) Two cases of pyometrocolpos due to distal vaginal atresia. Pediatr Surg Int 21:217–219

    Article  PubMed  Google Scholar 

  4. Lashley DB, Thomas RD, Silberger PJ, Skoog SJ (1998) Management of an infected hematometrocolpos in a patient with congenital adrenal hyperplasia and vaginal stenosis. J Urol 160:508–509

    Article  CAS  PubMed  Google Scholar 

  5. Dursun I, Gunduz Z, Kucukaydın M et al (2007) Distal vaginal atresia resulting in obstructive uropathy accompanied by acute renal failure. Clin Exp Nephrol 11:244–246

    Article  PubMed  Google Scholar 

  6. Chang JW, Yang LY, Wang HH et al (2007) Acute urinary retention as the presentation of imperforate hymen. J Chin Med Assoc 7012:559–561

    Article  Google Scholar 

  7. Dane C, Dane B, Erginbas M, Cetin A (2007) Imperforate hymen—a rare cause of abdominal pain: two cases and review of the literature. J Pediatr Adolesc Gynecol 20:245–247

    Article  PubMed  Google Scholar 

  8. Aygun C, Ozkaya O, Ayyildiz S et al (2006) An unusual cause of acute renal failure in a newborn: hydrometrocolpos. Pediatr Nephrol 21:572–573

    Article  PubMed  Google Scholar 

  9. Shaw LMA, Jones WA, Breton RJ (1983) Imperforate hymen and vaginal atresia and their associated anomalies. J R Soc Med 76:560–566

    CAS  PubMed  Google Scholar 

  10. Ash DG, Smith IM (1965) Neonatal hematocolpos. Can Med Assoc J 92:1225–1226

    CAS  PubMed  Google Scholar 

  11. Junqueira BLP, Allen LM, Spitzer RF et al (2009) Müllerian duct anomalies and mimics in children and adolescents: correlative intraoperative assessment with clinical imaging. Radiographics 29:1085–1103

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to Oktay Algin.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Algin, O., Erdogan, C. & Kilic, N. Ultrasound-Guided Percutaneous Drainage of Neonatal Pyometrocolpos Under Local Anesthesia. Cardiovasc Intervent Radiol 34 (Suppl 2), 271–276 (2011).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: