Early Diagnosis and Successful Treatment of Congenital Huge Hydrometrocolpos Secondary to Low Transverse Vaginal Septum with Obstructive Symptoms

Zelalem Ayichew; Zerubabel Tegegne; Mequanint Melesse

doi:doi:10.11648/j.ajp.20190504.13

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Early Diagnosis and Successful Treatment of Congenital Huge Hydrometrocolpos Secondary to Low Transverse Vaginal Septum with Obstructive Symptoms

Zelalem Ayichew, Zerubabel Tegegne, Mequanint Melesse

Published in American Journal of Pediatrics (Volume 5, Issue 4)

Received: 28 May 2019 Accepted: 1 July 2019 Published: 18 September 2019

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Abstract

Obstructive congenital anomalies of the female reproductive tract are rare and usually noticed during adolescent period for failure to see menses with cyclic abdominal pain, abdominal mass and local compressive symptoms. It is very rare for such cases to be symptomatic during early childhood from mucous collection. Congenital hydrometrocolpos (an accumulation of watery fluid in the uterus and vagina) that occurs during fetal period is a very rare condition, only with some case reports. The diagnosis is challenging and usually made late which delays the management resulting poor outcome from local compressive symptoms. We present a case diagnosed with huge congenital hydrometrocolpos secondary to low transverse vaginal septum using ultrasound by experienced radiologist and meticulous genital examination in a 5 day old neonate who had abdominal distention and difficult to pass urine since birth where incision of the septum transvaginally and drainage of the fluid was done to relieve symptoms with successful outcome.

Published in	American Journal of Pediatrics (Volume 5, Issue 4)
DOI	10.11648/j.ajp.20190504.13
Page(s)	187-190
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Congenital (Hydrometrocolpos), Transverse Vaginal Septum, Fetal Cystic Abdominal Mass, Neonatal Abdominal Mass with Obstructive Uropathy

References

[1]	Skinner B, Quint EH. Obstructive Reproductive Tract Anomalies: A Review of Surgical Management. J Minim Invasive Gynecol. 2017 Sep - Oct; 24 (6): 901-908. doi: 10.1016/j.jmig.2017.04.020. Epub 2017 May 5.
[2]	Ekenze SO, Ezegwui HU. Hydrometrocolpos from a low vaginal atresia: An uncommon cause of neonatal intestinal and urinary obstruction. Afr J Paediatr Surg [serial online] 2008 [cited 2019 Jun 30]; 5: 43-5.
[3]	Hahn-Pedersen J, Kvist N, Nielsen OH. Hydrometrocolpos: Current views on pathogenesis and management. J Urol 1984; 132: 537-40.
[4]	Philemon Ekemenye Okoro, C. Obiorah, and C. E. Enyindah. Experience with neonatal hydrometrocolpos in the Niger Delta area of Nigeria: Upsurge or increased recognition? Afr J Paediatr Surg. 2016 Oct-Dec; 13 (4): 161–165.
[5]	Ayşenur Cerrah Celayir, Gökmen Kurt, Ceyhan Şahin, Inanç Cici, Spectrum of Etiologies Causing Hydrometrocolpos Journal of Neonatal Surgery 2013; 2 (1): 5.
[6]	Ozturk H, Yazici B, Kucuk A, Senses DA. Congenital imperforate hymen with bilateral hydronephrosis, polydactyly and laryngocele: A rare neonatal presentation. Fetal Pediatr Pathol. 2010; 29: 89–94.
[7]	Birkneh Tilahun, Fitsum Woldegebriel, Zenebe Wolde, Henok Tadele, HYDROMETROCOLPOS PRESENTING AS A HUGE ABDOMINAL SWELLING AND OBSTRUCTIVE UROPATHY IN A 4 DAY OLD NEWBORN: A DIAGNOSTIC CHALLENGE, Ethiop J Health Sci. Vol. 26, No. 1 January 2016.
[8]	Sajni Khemchandani, Amit Devra, and Sandeep Gupta, An unusual case of urinary tract obstruction due to imperforate hymen in an 11-month-old infant, Indian J Urol. 2007 Apr-Jun; 23 (2): 198–199.
[9]	Ekenze SO, Ezegwui HU. Hydrometrocolpos from a low vaginal atresia: An uncommon cause of neonatal intestinal and urinary obstruction. Afr J Paediatr Surg. 2008; 5: 43–5.
[10]	I GUPTA AND AJ BARSON. Hydrocolpos with peritonitis in the newborn, J Clin Pathol 1980; 33: 679-683.
[11]	Aruna Nigam, Manisha Kumar, Shilpa Gulati, Nigam A, et al. Fetal ascites and hydrometrocolpos due to persistent urogenital sinus and cloaca: a rare congenital anomaly and review of literature BMJ Case Rep 2014. doi: 10.1136/bcr-2013-202231.
[12]	Hooi H. Tan, Shung K. Tan, Rajah Shunmugan, Rozman Zakaria, Zakaria Zahari, A Case of Persistent Urogenital Sinus Pitfalls and challenges in diagnosis, Med J, November 2017, Vol. 17, Iss. 4, pp. e455–459, Epub. 10 Jan 17.
[13]	Rizwan Ahmad Khan, Hydrometrocolpos Due to Persistent Urogenital Sinus Mimicking Neonatal Ascites, Iran J pediatri, march 2008, volume 18, (No 1), pg 67-70.
[14]	Sawhney S, Gupta R, Berry M, Bhatnagar V. Hydrometrocolpos: diagnosis and follow-up by ultrasound--a case report. Australas Radiol. 1990 Feb; 34 (1): 93-4.
[15]	Gupta M, Bajwa SS, Gup ta M. Diagnostic dilemmas in management of neonatal hydrometrocolpos: A crucial role of magnetic resonance imaging. Int J Health Allied Sci 2014; 3: 251-4.
[16]	Zeki Şahinoğlu, Ayşenur Cerrah Celayir, Mehmet Reşit Asoglu, Nahit Özcan, Diagnostic Difficulties in a Case of Persistent Cloaca with Hydrocolpos Journal of Neonatal Surgery 2012; 1 (4): 55.
[17]	Chih-Ping Chen, Yu-Peng Liu, Tung-Yao Chang, Fuu-Jen Tsai, Chen-Yu Chen, Pei-Chen Wu, Teresa Hsiao-Tien Chen, Wayseen Wang, PRENATAL DIAGNOSIS OF PERSISTENT CLOACA WITH HYDROMETROCOLPOS AND ASCITES BY MAGNETIC RESONANCE IMAGING IN ONE FETUS OF A DIZYGOTIC TWIN PREGNANCY Taiwan J Obstet Gynecol • September 2010 • Vol 49 • No 3.
[18]	B R Nagaraj, Deepashri Basavalingu, Venkatesha Mangadahalli Paramesh, andPannag Desai Kaginele Nagendra. Radiological Diagnosis of Neonatal Hydrometrocolpos- A Case Report, J Clin Diagn Res. 2016 Mar; 10 (3): TD18–TD19.
[19]	G. 0. RICHARDSON, G. A. SMART, CASE REPORT, HYDROCOLPOS IN AN INFANT, Arch Dis Child, 10.1136/adc.17.89.56, 1 March 1942.

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APA Style

Zelalem Ayichew, Zerubabel Tegegne, Mequanint Melesse. (2019). Early Diagnosis and Successful Treatment of Congenital Huge Hydrometrocolpos Secondary to Low Transverse Vaginal Septum with Obstructive Symptoms. American Journal of Pediatrics, 5(4), 187-190. https://doi.org/10.11648/j.ajp.20190504.13

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ACS Style

Zelalem Ayichew; Zerubabel Tegegne; Mequanint Melesse. Early Diagnosis and Successful Treatment of Congenital Huge Hydrometrocolpos Secondary to Low Transverse Vaginal Septum with Obstructive Symptoms. Am. J. Pediatr. 2019, 5(4), 187-190. doi: 10.11648/j.ajp.20190504.13

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AMA Style

Zelalem Ayichew, Zerubabel Tegegne, Mequanint Melesse. Early Diagnosis and Successful Treatment of Congenital Huge Hydrometrocolpos Secondary to Low Transverse Vaginal Septum with Obstructive Symptoms. Am J Pediatr. 2019;5(4):187-190. doi: 10.11648/j.ajp.20190504.13

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@article{10.11648/j.ajp.20190504.13,
  author = {Zelalem Ayichew and Zerubabel Tegegne and Mequanint Melesse},
  title = {Early Diagnosis and Successful Treatment of Congenital Huge Hydrometrocolpos Secondary to Low Transverse Vaginal Septum with Obstructive Symptoms},
  journal = {American Journal of Pediatrics},
  volume = {5},
  number = {4},
  pages = {187-190},
  doi = {10.11648/j.ajp.20190504.13},
  url = {https://doi.org/10.11648/j.ajp.20190504.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20190504.13},
  abstract = {Obstructive congenital anomalies of the female reproductive tract are rare and usually noticed during adolescent period for failure to see menses with cyclic abdominal pain, abdominal mass and local compressive symptoms. It is very rare for such cases to be symptomatic during early childhood from mucous collection. Congenital hydrometrocolpos (an accumulation of watery fluid in the uterus and vagina) that occurs during fetal period is a very rare condition, only with some case reports. The diagnosis is challenging and usually made late which delays the management resulting poor outcome from local compressive symptoms. We present a case diagnosed with huge congenital hydrometrocolpos secondary to low transverse vaginal septum using ultrasound by experienced radiologist and meticulous genital examination in a 5 day old neonate who had abdominal distention and difficult to pass urine since birth where incision of the septum transvaginally and drainage of the fluid was done to relieve symptoms with successful outcome.},
 year = {2019}
}

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TY  - JOUR
T1  - Early Diagnosis and Successful Treatment of Congenital Huge Hydrometrocolpos Secondary to Low Transverse Vaginal Septum with Obstructive Symptoms
AU  - Zelalem Ayichew
AU  - Zerubabel Tegegne
AU  - Mequanint Melesse
Y1  - 2019/09/18
PY  - 2019
N1  - https://doi.org/10.11648/j.ajp.20190504.13
DO  - 10.11648/j.ajp.20190504.13
T2  - American Journal of Pediatrics
JF  - American Journal of Pediatrics
JO  - American Journal of Pediatrics
SP  - 187
EP  - 190
PB  - Science Publishing Group
SN  - 2472-0909
UR  - https://doi.org/10.11648/j.ajp.20190504.13
AB  - Obstructive congenital anomalies of the female reproductive tract are rare and usually noticed during adolescent period for failure to see menses with cyclic abdominal pain, abdominal mass and local compressive symptoms. It is very rare for such cases to be symptomatic during early childhood from mucous collection. Congenital hydrometrocolpos (an accumulation of watery fluid in the uterus and vagina) that occurs during fetal period is a very rare condition, only with some case reports. The diagnosis is challenging and usually made late which delays the management resulting poor outcome from local compressive symptoms. We present a case diagnosed with huge congenital hydrometrocolpos secondary to low transverse vaginal septum using ultrasound by experienced radiologist and meticulous genital examination in a 5 day old neonate who had abdominal distention and difficult to pass urine since birth where incision of the septum transvaginally and drainage of the fluid was done to relieve symptoms with successful outcome.
VL  - 5
IS  - 4
ER  -

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Author Information

Zelalem Ayichew

Department of Obstetrics and Gynecology, University of Gondar Hospital, Gondar, Ethiopia
Zerubabel Tegegne

Department of Radiology, University of Gondar Hospital, Gondar, Ethiopia
Mequanint Melesse

Department of Obstetrics and Gynecology, University of Gondar Hospital, Gondar, Ethiopia

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Plain Text BibTeX RIS

APA Style

Zelalem Ayichew, Zerubabel Tegegne, Mequanint Melesse. (2019). Early Diagnosis and Successful Treatment of Congenital Huge Hydrometrocolpos Secondary to Low Transverse Vaginal Septum with Obstructive Symptoms. American Journal of Pediatrics, 5(4), 187-190. https://doi.org/10.11648/j.ajp.20190504.13

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ACS Style

Zelalem Ayichew; Zerubabel Tegegne; Mequanint Melesse. Early Diagnosis and Successful Treatment of Congenital Huge Hydrometrocolpos Secondary to Low Transverse Vaginal Septum with Obstructive Symptoms. Am. J. Pediatr. 2019, 5(4), 187-190. doi: 10.11648/j.ajp.20190504.13

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AMA Style

Zelalem Ayichew, Zerubabel Tegegne, Mequanint Melesse. Early Diagnosis and Successful Treatment of Congenital Huge Hydrometrocolpos Secondary to Low Transverse Vaginal Septum with Obstructive Symptoms. Am J Pediatr. 2019;5(4):187-190. doi: 10.11648/j.ajp.20190504.13

Copy | Download

@article{10.11648/j.ajp.20190504.13,
  author = {Zelalem Ayichew and Zerubabel Tegegne and Mequanint Melesse},
  title = {Early Diagnosis and Successful Treatment of Congenital Huge Hydrometrocolpos Secondary to Low Transverse Vaginal Septum with Obstructive Symptoms},
  journal = {American Journal of Pediatrics},
  volume = {5},
  number = {4},
  pages = {187-190},
  doi = {10.11648/j.ajp.20190504.13},
  url = {https://doi.org/10.11648/j.ajp.20190504.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20190504.13},
  abstract = {Obstructive congenital anomalies of the female reproductive tract are rare and usually noticed during adolescent period for failure to see menses with cyclic abdominal pain, abdominal mass and local compressive symptoms. It is very rare for such cases to be symptomatic during early childhood from mucous collection. Congenital hydrometrocolpos (an accumulation of watery fluid in the uterus and vagina) that occurs during fetal period is a very rare condition, only with some case reports. The diagnosis is challenging and usually made late which delays the management resulting poor outcome from local compressive symptoms. We present a case diagnosed with huge congenital hydrometrocolpos secondary to low transverse vaginal septum using ultrasound by experienced radiologist and meticulous genital examination in a 5 day old neonate who had abdominal distention and difficult to pass urine since birth where incision of the septum transvaginally and drainage of the fluid was done to relieve symptoms with successful outcome.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Early Diagnosis and Successful Treatment of Congenital Huge Hydrometrocolpos Secondary to Low Transverse Vaginal Septum with Obstructive Symptoms
AU  - Zelalem Ayichew
AU  - Zerubabel Tegegne
AU  - Mequanint Melesse
Y1  - 2019/09/18
PY  - 2019
N1  - https://doi.org/10.11648/j.ajp.20190504.13
DO  - 10.11648/j.ajp.20190504.13
T2  - American Journal of Pediatrics
JF  - American Journal of Pediatrics
JO  - American Journal of Pediatrics
SP  - 187
EP  - 190
PB  - Science Publishing Group
SN  - 2472-0909
UR  - https://doi.org/10.11648/j.ajp.20190504.13
AB  - Obstructive congenital anomalies of the female reproductive tract are rare and usually noticed during adolescent period for failure to see menses with cyclic abdominal pain, abdominal mass and local compressive symptoms. It is very rare for such cases to be symptomatic during early childhood from mucous collection. Congenital hydrometrocolpos (an accumulation of watery fluid in the uterus and vagina) that occurs during fetal period is a very rare condition, only with some case reports. The diagnosis is challenging and usually made late which delays the management resulting poor outcome from local compressive symptoms. We present a case diagnosed with huge congenital hydrometrocolpos secondary to low transverse vaginal septum using ultrasound by experienced radiologist and meticulous genital examination in a 5 day old neonate who had abdominal distention and difficult to pass urine since birth where incision of the septum transvaginally and drainage of the fluid was done to relieve symptoms with successful outcome.
VL  - 5
IS  - 4
ER  -

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