Distal vaginal atresia resulting in obstructive uropathy accompanied by acute renal failure

Dursun, İsmail; Gündüz, Zübeyde; Küçükaydın, Mustafa; Yıldırım, Afra; Yılmaz, Ayşegül; Poyrazoğlu, Hakan

doi:10.1007/s10157-007-0488-1

Cited by 8 publications

(2 citation statements)

References 5 publications

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“…A hydrocolpos may initially remain asymptomatic. However, when a large amount of fluid is collected, the hydrocolpos can result in external compression of surrounding structures, causing intestinal and/or urological obstruction 4–6. Hydronephrosis may occur when the hydrocolpos compresses the ureter or urethra.…”

Section: Discussionmentioning

confidence: 99%

Neonatal hydrocolpos presenting as a rapidly progressive abdominal mass with inferior caval vein syndrome

et al. 2022

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A 7-week-old infant was presented at the emergency department with an abdominal mass, unilateral swelling of the groin and suspicion of an inferior caval vein syndrome with bluish discolouration and oedema of the lower extremities. Abdominal imaging showed two large cysts and profound bilateral hydronephrosis. Following laparotomy, an extreme hydrocolpos and an overdistended urinary bladder were found. These findings turned out to be secondary to a transverse vaginal septum. She was treated surgically and was hospitalised for 2 weeks. Long-term follow-up showed normalisation of previously present hypercalciuria and hydronephrosis.A hydro(metro)colpos should be considered in the differential diagnosis of a female infant presenting with an abdominal mass, to apply the appropriate investigations and therapy.

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Section: Discussionmentioning

confidence: 99%

Neonatal hydrocolpos presenting as a rapidly progressive abdominal mass with inferior caval vein syndrome

et al. 2022

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“… 3 – 5 Visualization of vaginal-appearing tissue on physical examination instead of bulging bluish tissue more indicative of an imperforate hymen may suggest vaginal agenesis, but both ultrasound and MRI are recommended to adequately characterize pelvic and neighboring anatomy. 6 …”

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confidence: 99%

Pediatric Urinary Retention and Constipation: Vaginal Agenesis with Hematometrocolpos

Heckmann¹,

Fuente²,

Heiner³

2015

WestJEM

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Ultrasound-Guided Percutaneous Drainage of Neonatal Pyometrocolpos Under Local Anesthesia

Algın¹,

Erdoğan

Kılıç

2010

Cardiovasc Intervent Radiol

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Hydrometrocolpos is an uncommon congenital disorder with cystic dilatation of the vagina and uterus that occurs as a result of accumulated secretions from the reproductive tract due to distal genital tract obstruction. Secondary infection may also occur, resulting in pyometrocolpos, a potentially lethal disease. Immediate drainage of the cystic mass in patients determined to have pyometrocolpos is required to prevent or treat uropathy and septicemia until definitive corrective surgery can be performed. We report an unusual cause of obstructive uropathy in three infants: pyometrocolpos due to lower genital tract atresia. Ultrasound-guided percutaneous drainage of the pyometrocolpos resulted in dramatically improved clinical and laboratory findings in these patients. Ultrasound-guided percutaneous drainage under local anesthesia is a simple, minimally invasive, safe, and effective procedure that facilitates later successful corrective surgery and avoids the need for more complex drainage procedures.

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Distal vaginal atresia resulting in obstructive uropathy accompanied by acute renal failure

Cited by 8 publications

References 5 publications

Neonatal hydrocolpos presenting as a rapidly progressive abdominal mass with inferior caval vein syndrome

Neonatal hydrocolpos presenting as a rapidly progressive abdominal mass with inferior caval vein syndrome

Pediatric Urinary Retention and Constipation: Vaginal Agenesis with Hematometrocolpos

Ultrasound-Guided Percutaneous Drainage of Neonatal Pyometrocolpos Under Local Anesthesia

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