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Hydrometrocolpos

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Pediatric Surgery

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Abstract

Hydrometrocolpos is a condition in which there is obstruction to the outflow of secretions from the female genital tract. This may be diagnosed in the antenatal period. The common age at presentation is the neonatal and pubertal age group. The treatment may be required as an emergency in neonates presenting with sepsis or renal derangements. It may also be associated with syndromes apart from various other anomalies. Early diagnosis and management are key to survival of these patients. This chapter describes the detailed management of these cases including investigations and the various surgical options available.

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References

  • Arena F, Romeo C, Cruccetti A, Antonuccio P, Basile M, Romeo G (1999) The neonatal management and surgical correction of urinary hydrometrocolpos caused by a persistent urogenital sinus. BJU Int 84:1063–1068

    Article  CAS  PubMed  Google Scholar 

  • Aygun C, Ozkaya O, Ayyyldyz S, Gungor O, Mutlu B, Kucukoduk S (2006) An unusual cause of acute renal failure in a newborn: hydrometrocolpos. Pediatr Nephrol 21:572–573

    Article  PubMed  Google Scholar 

  • Banu T, Huq AU, Rahman MM (2000) Hydrometrocolpos: an uncommon problem for pediatric surgeons. J Indian Assoc Pediatr Surg 5:156–159

    Google Scholar 

  • Beales PL, Elcioglu N, Woolf AS, Parker D, Flinter FA (1999) New criteria for improved diagnosis of Bardet-Biedl syndrome: results of a population survey. J Med Genet 36:437–446

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Bhargava P, Dighe M (2009) Prenatal US diagnosis of congenital imperforate hymen. Pediatr Radiol 39:1014

    Article  PubMed  Google Scholar 

  • Cantani A, Santillo C, Cozzi F (1992) McKusick-Kaufman syndrome: report of the 66th case complicated by a staphyloma of the left eye. Pediatr Pathol 26:193–196

    Google Scholar 

  • Dooley RT (1962) Hydrometrocolpos. Report of a case in a newborn infant. Am J Dis Child 103:692–696

    Article  CAS  PubMed  Google Scholar 

  • Drut R (2005) Squamous cell peritonitis associated with hydrometrocolpos in a multimalformed newborn. Fetal Pediatr Pathol 24:161–168

    Article  PubMed  Google Scholar 

  • El-Messidi A, Fleming NA (2006) Congenital imperforate hymen and its life-threatening consequences in the neonatal period. J Pediatr Adolesc Gynecol 19:99–103

    Article  CAS  PubMed  Google Scholar 

  • Forsythe E, Beales PL (2013) Bardet-Biedl syndrome. Eur J Hum Genet 21(1):8–13

    Article  CAS  PubMed  Google Scholar 

  • Geipel A, Berg C, Germer U, Ahrens P, Gloeckner-Hofmann K, Moller J, Gembruch U (2001) Diagnostic and therapeutic problems in a case of prenatally detected fetal hydrocolpos. Ultrasound Obstet Gynecol 18:169–172

    Article  CAS  PubMed  Google Scholar 

  • Graivier L, McKay DL Jr, Katz A (1977) Hydrocolpos, vaginal atresia and urethrovaginal fistula in a neonate: abdomino-perineal vaginal pull-through. J Pediatr Surg 12:605–607

    Article  CAS  PubMed  Google Scholar 

  • Gupta DK, Sharma S (2018) Hydrometrocolpos. In: Puri P, Hollwarth M (eds) Pediatric surgery (Springer surgery atlas series), vol 73, 2nd edn. Springer, New York, pp 637–649. https://doi.org/10.1007/978-3-662-56282-6_73

    Chapter  Google Scholar 

  • Gupta DK, Shilpa S (2009) Hydrometrocolpos. In: Puri P, Hoellworth M (eds) Pediatric surgery – diagnosis and management, vol 96, 1st edn. Springer, Stuhr, Germany, pp 961–970

    Google Scholar 

  • Hayashi S, Sago H, Kashima K, Kitano Y, Kuroda T, Honna T, Nosaka S, Nakamura T, Ito Y, Kitagawa M, Natori M (2005) Prenatal diagnosis of fetal hydrometrocolpos secondary to a cloacal anomaly by magnetic resonance imaging. Ultrasound Obstet Gynecol 26:577–579

    Article  CAS  PubMed  Google Scholar 

  • Hu MX, Methratta S (2001) An unusual case of neonatal peritoneal calcifications associated with hydrometrocolpos. Pediatr Radiol 31:742–744

    Article  CAS  PubMed  Google Scholar 

  • Jackson L, Murphy FL, Hiorns MP, Duffy P (2008) The role of dynamic magnetic resonance urography in complex neonatal hydrometrocolpos. Pediatr Surg Int 24:625–627

    Article  PubMed  Google Scholar 

  • Jimenez Vieyra CR (2002) Hydrometrocolpos: prenatal diagnosis. A case report. Ginecol Obstet Mex 70:236–238

    PubMed  Google Scholar 

  • Johal NS, Bogris S, Mushtaq I (2009) Neonatal imperforate hymen causing obstruction of the urinary tract. Urology 73:750–751

    Article  PubMed  Google Scholar 

  • Khanna K, Sharma S, Gupta DK (2018) Hydrometrocolpos etiology and management: past beckons the present. Pediatr Surg Int 34:249–261

    Article  PubMed  Google Scholar 

  • Mahoney PJ, Chamberlain JW (1940) Hydrometrocolpos in infancy - congenital atresia of the vagina with abnormally abundant cervical secretions. J Pediatr 17(772–780):12

    Google Scholar 

  • Mamolu M, Çay A, Sarihan H, Koucu P, Özdemir O (2005) Two cases of pyometrocolpos due to distal vaginal atresia. Pediatr Surg Int 21:217–219

    Article  Google Scholar 

  • Messina M, Severi FM, Bocchi C, Ferrucci E, Di Maggio G, Petraglia F (2004) Voluminous perinatal pelvic mass: a case of congenital hydrometrocolpos. J Matern Fetal Neonatal Med 15:135–137

    Article  CAS  PubMed  Google Scholar 

  • Nguyen L, Youssef S, Guttman FM, Ahlgren LS, Schlechter R (1984) Hydrometrocolpos in neonate due to distal vaginal atresia. J Pediatr Surg 19:510–514

    Article  CAS  PubMed  Google Scholar 

  • Rohatgi M, Gupta DK, Luthra M (1989) Neonatal hydrometrocolpos associated with McKusick-Kaufman syndrome. Ind Pediatr 56:440–443

    Google Scholar 

  • Rosen RS, Bocian ME (1991) Hydrops fetalis in the McKusick-Kaufman syndrome: a case report. Am J Obstet Gynaecol 165:1-2–1-3

    Article  Google Scholar 

  • Ruiz-Perez VL, Ide SE, Strom TM et al (2000) Mutations in a new gene in Ellis-van Creveld syndrome and Weyers acrodental dysostosis. Nat Genet 24:283–286

    Article  CAS  PubMed  Google Scholar 

  • Russ PD, Zavitz WA, Pretorius DH et al (1986) Hydrometrocolpos, uterus didelphys and septate vagina: an antenatal sonographic diagnosis. J Ultrasound Med 5:211–213

    Article  CAS  PubMed  Google Scholar 

  • Spencer R, Levy DM (1962) Hydrometrocolpos. Ann Surg 155:558

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Stone DL, Slavotinek A, Bouffard GG et al (2000) Mutation of a gene encoding a putative chaperonin causes McKusick-Kaufman syndrome. Nat Genet 25:79–82

    Article  CAS  PubMed  Google Scholar 

  • Takeda A, Konda R, Sakai K, Ota S, Orikasa S (1997) Hydrometrocolpos with ectopic vaginal opening to the bladder. A case report. Urol Int 59:57–58

    Article  CAS  PubMed  Google Scholar 

  • Unsinn KM, Neu N, Krejci A, Posch A, Menardi G, Gassner I (1995) Pallister-Hall syndrome and McKusick-Kaufmann syndrome: one entity? J Med Genet 32:125–128

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Yildirim G, Gungorduk K, Aslan H, Sudolmus S, Ark C, Saygin S (2008) Prenatal diagnosis of imperforate hymen with hydrometrocolpos. Arch Gynecol Obstet 278:483–485

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India

    Shilpa Sharma

  2. Super Speciality Pediatric Hospital and Post Graduate Teaching Institute, Noida, India

    Devendra K. Gupta

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  1. Shilpa Sharma
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  2. Devendra K. Gupta
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Editor information

Editors and Affiliations

  1. Beacon Hospital, University College Dublin, Dublin, Ireland

    Prem Puri

  2. University Clinic of Paediatric and Adolescent Surgery, Medical University of Graz, Graz, Austria

    Michael E. Höllwarth

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Sharma, S., Gupta, D.K. (2023). Hydrometrocolpos. In: Puri, P., Höllwarth, M.E. (eds) Pediatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-81488-5_105

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  • DOI: https://doi.org/10.1007/978-3-030-81488-5_105

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-81487-8

  • Online ISBN: 978-3-030-81488-5

  • eBook Packages: MedicineMedicine (R0)

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