Hydrometrocolpos

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

“…Urethral obstruction is usually associated with an ectopic urethral meatus (as illustrated by the vaginal meatus in our case) and may lead to an overdistension of the urinary bladder as well 7. Other possible symptoms are an abdominal mass, ascites and vena inferior syndrome with vulvar and/ or lower extremity oedema (also seen in our case) 7 8…”

“…Thorough inspection of the genitalia and perineum is needed when suspecting a hydrocolpos, which may require general anaesthesia. Investigation of the external genitalia often shows no abnormalities in case of transverse vaginal septum, but may show a bulging hymen in case of an imperforate hymen or a vaginal dimple in case of atresia 8. Vaginoscopy is helpful in diagnosing a transverse vaginal septum and can also determine the septum’s exact anatomical location.…”

“…MRI is the best imaging technique in diagnosing a transverse vaginal septum or other causes of hydrocolpos, especially in complex anomalies. It can also define the location and thickness of a septum prior to surgery 8 11…”

“…At a later stage, surgical correction is advised to prevent complications such as stenosis and obstetric difficulties. Several techniques are described, which involve excision of the septum and suturing of the vaginal mucosa 4 8 16…”