[Hydrocolpos and hydrometrocolpos in newborns]

Area of Science:

• Pediatric Surgery
• Gynecologic Pathology
• Neonatal Medicine

Background:

• Hydrocolpos and hydrometrocolpos are rare congenital anomalies caused by cervicovaginal secretions accumulating due to malformations.
• These conditions primarily affect female newborns and infants, presenting as abdominal masses with abnormal vaginal openings.

Observation:

• Two cases of hydrocolpos and hydrometrocolpos were diagnosed in the neonatal period.
• Clinical presentation included large abdominal masses in both newborn infants.
• Diagnostic imaging (echography, CT scan) and surgical exploration confirmed the diagnoses.

Findings:

• One case presented with hydrocolpos and an imperforate hymen.
• The second case involved hydrometrocolpos with distal vaginal atresia.
• Treatment involved surgical drainage of secretions via X-shaped hymenotomy and vaginal atresia repair, respectively.

Implications:

• Early diagnosis and appropriate surgical management are crucial for favorable outcomes in neonates with hydrocolpos and hydrometrocolpos.
• These cases highlight the importance of thorough physical examination and advanced imaging in identifying rare congenital urogenital abnormalities.
• Successful treatment underscores the effectiveness of surgical intervention in resolving these obstructive anomalies.