Related Experiment Video
Updated: May 7, 2026
06:05
Assessing Urinary Tract Junction Obstruction Defects by Methylene Blue Dye Injection
Published on: October 12, 2017
Imperforate hymen causing congenital hydrometrocolpos.
V Vitale1, B Cigliano, G Vallone
1Divisione di Diagnostica Pediatrica, Dipartimento di Scienze Biomorfologiche e Funzionali, Università Federico II di Napoli, Naples, Italy.
Journal of Ultrasound
|September 19, 2013
Summary
A rare congenital anomaly, hydrometrocolpos, presented as an abdominal mass in a newborn. Surgical intervention successfully resolved the condition, with normal uterine structure confirmed post-procedure.
Area of Science:
- Pediatric Surgery
- Medical Imaging
- Gynecology
Background:
- Congenital abdominal masses require prompt diagnosis and management.
- Hydrometrocolpos, a rare condition, involves the accumulation of fluid within the uterus and vagina due to an imperforate hymen.
Purpose of the Study:
- To report a case of neonatal hydrometrocolpos diagnosed via ultrasound.
- To describe the successful surgical management of this rare condition.
Main Methods:
- Prenatal and postnatal ultrasound examinations were utilized for diagnosis.
- Physical examination identified a membrane covering the vaginal opening.
- Hymenectomy and aspiration of fluid were performed as the primary treatment.
Main Results:
- A large (8x5x4 cm) cystic abdominal mass was identified in a neonate.
- The mass was consistent with hydrometrocolpos, caused by an imperforate hymen.
- Post-operative ultrasound confirmed normal uterine structure without hydronephrosis.
Conclusions:
- Hydrometrocolpos can present as a significant neonatal abdominal mass.
- Early diagnosis and surgical intervention, such as hymenectomy, are effective treatments.
- This case highlights the importance of thorough physical examination and imaging in diagnosing rare pediatric gynecological conditions.
Related Concept Videos
01:26Muscles of the Pelvic Floor and Perineum
The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
01:22Esophageal Perforation-I: Introduction
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
01:15External Female Genitals
The vulva encompasses the external structures of the female reproductive system. At the forefront is the monpubis, a cushion of fatty tissue atop the pubic bone. Once puberty sets in, this area typically grows hair. Extending from just behind the mons pubis are the labia majora (labia = 'lips'; majora = 'larger'), which are larger skin fs olds coated with hair. Nestled within are the labia minora (labia = 'lips'; minora = 'smaller'), which are thinner, more pigmented, and hairless. While the...
01:15Development of the Sexual Organs in the Embryo and Fetus
Development of the reproductive organs in an embryo starts from a bipotential state. This means the early embryo can develop either male or female reproductive organs. The formation of these organs begins with the growth of gonadal ridges that arise from the intermediate mesoderm during the fifth week of development.
Near the gonadal ridges, two duct systems are present: the mesonephric ducts (Wolffian ducts) and paramesonephric ducts (Müllerian ducts). These ducts form the basis for the male...
Near the gonadal ridges, two duct systems are present: the mesonephric ducts (Wolffian ducts) and paramesonephric ducts (Müllerian ducts). These ducts form the basis for the male...
01:27Mitral Valve Prolapse I: Introduction
IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
01:27Diverticular Disease of the Colon
Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...