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Fetal hydrometrocolpos.

R Saxena1, G Divan, A M Long

  • 1Department of Histopathology, Farnborough Hospital, Kent, UK.

Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
|September 1, 1993
PubMed
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Hydrometrocolpos, a rare fetal condition, presented as a pelvic cystic mass. Despite premature birth, the infant experienced pulmonary hypoplasia and died shortly after delivery.

Area of Science:

  • Perinatology
  • Fetal Medicine
  • Pediatric Pathology

Background:

  • Hydrometrocolpos is a rare congenital anomaly characterized by the accumulation of fluid in the uterus and vagina.
  • Antenatal diagnosis of pelvic cystic masses in female fetuses can be challenging.
  • Pulmonary hypoplasia is a significant cause of neonatal mortality.

Purpose of the Study:

  • To report a case of antenatally diagnosed hydrometrocolpos.
  • To highlight the association between hydrometrocolpos and pulmonary hypoplasia.
  • To discuss the pathological findings in a neonate with hydrometrocolpos.

Main Methods:

  • Antenatal ultrasound for pelvic mass detection.
  • Neonatal resuscitation and assessment.
  • Postmortem examination including gross and microscopic pathology.

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Main Results:

  • A cystic pelvic mass was identified antenatally in a female fetus.
  • The infant was born preterm at 33 weeks gestation.
  • Postmortem findings confirmed hydrometrocolpos, abdominal adhesions, and severe pulmonary hypoplasia, leading to death within one hour.

Conclusions:

  • Hydrometrocolpos can present as a significant antenatal finding with severe consequences.
  • Pulmonary hypoplasia is a critical comorbidity in neonates with hydrometrocolpos.
  • Postmortem examination is crucial for understanding the full spectrum of pathology in such cases.