Related Experiment Video
Updated: Dec 1, 2025

Assessing Urinary Tract Junction Obstruction Defects by Methylene Blue Dye Injection
Published on: October 12, 2017
A case report of hydronephrosis caused by imperforate hymen in an infant
Meixiang Zhang1, Yingchun Luo1, Sheng Wang2
1Department of Ultrasound, The Maternal and Child Health Care Hospital of Hunan Province.
Rationale:
Hydronephrosis, mostly caused by ureteropelvic junction obstruction, rarely occurs in infants. However, imperforate hymen atresia in female infants may cause hydronephrosis, even though it is rare.
Patient Concerns:
A 3-month-old female infant was admitted to our hospital for frequent crying. There was no significant past medical history.
Diagnoses:
Following ultrasound imaging, the patient was diagnosed with hydronephrosis possibly caused by imperforate hymen.
Interventions:
The infant underwent hymenotomy with a cruciate incision to prevent future complications such as acute renal injury.
Outcomes:
Hydronephrosis resolved after the operation. The outcome was very good, with no complications in the postoperative period.
Conclusions:
Early ultrasound diagnosis plays a significant role in the management and treatment of infant patients. Ultrasound is the mandatory imaging technology for determining the cause of hydronephrosis.

