Hydrometrocolpos, uterus didelphys, and septate vagina: an antenatal sonographic diagnosis.

Russ, Paul; Zavitz, W R; Pretorius, Dolores H.; Manco-Johnson, M L; Rumack, Carol M.; Pfister, Roswell R.; Greenholz, S K

doi:10.7863/jum.1986.5.4.211

Cited by 18 publications

(8 citation statements)

References 3 publications

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“…Ultrasound evaluation is important to rule out syndromes when hydrocolpos is associated with multiple malformations. A septate vagina may be associated with uterus didelphys4, 5, 13, and cloacal and rectal anomalies due to failure of Müllerian duct fusion5, 14, or syndromic diseases5, 15, 16. Although sonographic prenatal diagnosis of hydro(metro)colpos has been described frequently, antenatal evaluation by MRI is rare.…”

Section: Discussionmentioning

confidence: 99%

Fetal magnetic resonance imaging in the antenatal diagnosis and management of hydrocolpos

Picone

Laperelle

Sonigo

et al. 2007

Ultrasound in Obstet & Gyne

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Hydrocolpos should be considered systematically when an abdominopelvic cystic mass is diagnosed in a female fetus. Because the prognosis and neonatal management of isolated hydrocolpos with spontaneous resolution differs greatly from that of hydrocolpos associated with a cloacal CASE REPORTS Case 1A 37-year-old woman with three previous normal pregnancies underwent ultrasound examination at 33 weeks' gestation. An anechoic pelvic mass of 10 × 6 × 5 cm behind the fetal bladder was seen (Figure 1a). Further examination revealed pyelectasis of the left kidney (12-mm dilatation of the renal pelvis), right kidney agenesis and a single umbilical artery. Magnetic resonance imaging (MRI) was performed at 34 weeks. T1-weighted (TORSO coil; field of view (FOV) 36 × 36; 5.0 ThK/2.5 sp; FSE TR 8000 TE 125) and T2-weighted (TORSO coil; FOV 42 × 42; 5.0 thK/0.5 sp; FSPGR/60TR 150 TE min) sequences were obtained on a Sygma 1.5-T SYS-GEMS unit, in the frontal, coronal and sagittal planes. A cystic mass between the bladder and rectum was identified, which appeared hyperintense on T2 sequences and hypointense on T1 sequences. Visualization of a fluid-filled uterus above the mass (Figure 1b) led to the diagnosis of hydrometrocolpos. Pyelectasis was thought to have resulted from compression by the cystic mass. Cloacal malformations were ruled out because the T1 sequence showed normal intrarectal meconium and neither digestive dilatation nor enterolithiasis. At 36 weeks, worsening pyelectasis prompted us to deliver the 2600-g girl by Cesarean section. She was transferred to a pediatric surgery center and the hydrocolpos resolved spontaneously on the day after delivery. Ultrasound examination revealed heterogeneous mostly fluid materials in the pelvic collection, and moderate pyelectasis of the left kidney that disappeared on day 2. The final diagnosis was hydrometrocolpos due to an imperforate hymen, and it evacuated spontaneously after birth. The infant underwent surgical intervention at 2 months of age for an ovarian hernia. Vaginoscopy at that time showed a normal vagina and a single uterine cervix, but the hymen opening was very small and difficult to see. Uterine malformation (the incidence of which is known to be increased in women with renal agenesis) could not be ruled out. Case 2A 30-year-old woman in her first pregnancy was diagnosed with polyhydramnios at 27 weeks. No fetal abnormalities were observed, diabetes mellitus was ruled

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Section: Discussionmentioning

confidence: 99%

Fetal magnetic resonance imaging in the antenatal diagnosis and management of hydrocolpos

Picone

Laperelle

Sonigo

et al. 2007

Ultrasound in Obstet & Gyne

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show abstract

“…11 The differential diagnosis also includes an-terior meningocele, dermoid, sarcoma, lipoma, rectal duplication, imperforate anus, ependymoma/' and uterine duplication. 7 Our series demonstrated that the prevalence of the so-called presacral pseudomass or meconium-filled rectum was at least 6.3% in our population of fetuses examined in the third trimester for a variety of indications. Variations in fetal presentation and lie may account for the apparently low incidence of this observation.…”

Section: Discussionmentioning

confidence: 57%

The fetal presacral pseudo-mass: a normal sonographic variant.

Karcnik

Rubenstein

Swayne

1991

Journal of Ultrasound in Medicine

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We examined 416 consecutive third trimester intrauterine gestations over a 4-month period and discovered 26 hypoechoic masses in the fetal presacral space (6.3% incidence). These masses varied in diameter from 15 to 30 mm (mean, 21.5 mm). All neonates were normal on follow-up examination, without evidence of any masses or neurologic deficits. The fetal rectosigmoid colon frequently is identified in the third trimester and may reach 2 to 3 cm at term. Because the prevalence of meconium-filled rectum (6.3%) exceeds that of a presacral teratoma (0.0025%), this normal anatomic variant should be considered the most common cause of a third trimester presacral "mass."

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“…This results in duplication of the uterus and vagina (or a bicornuate or septate uterus or septate vagina). 9 Hydrocolpos occurs prenatally, as seen in seven of Blask and coworkers' cases 9 and in three others reported in literature by Davis and colleagues, 4 Hill and Hirsch, 1 and Russ and associates. 3 Blask and coauthors reported a retrospective study of nine neonates with obstructed genital tract evaluated with sonography, five of whom had a urogenital sinus.…”

Section: Discussionmentioning

confidence: 84%

“…5 Hill and Hirsch reported an additional case of fetal hydrocolpos, 3 also caused by imperforate hymen, detected by sonography, 1 and Russ and colleagues described a case of hydrometrocolpos occurring with uterus didelphys and septate vagina detected in utero. 4 Our case is notable for the association of fetal ascites and uterovaginal duplication in a patient with persistent urogenital sinus.…”

mentioning

confidence: 68%

“…In the case described by Davis and coworkers, the hydrometrocolpos was caused by imperforate hymen and appeared as a hypoechoic mass in the fetal pelvis, extending superiorly into the fetal abdomen and caudally into the perineum. 4 The fetal hydrocolpos reported by Hill and Hirsch also was caused by imperforate hymen and appeared as a homogeneous midline mass of medium echogenicity posterior to the bladder, which demonstrated a slight increase in size on a subsequent sonographic study, and mild right hydronephrosis. 1 Russ and coworkers reported a case similar to ours of hydrometrocolpos occurring with uterus didelphys and septate vagina detected in utero.…”

Section: Discussionmentioning

confidence: 92%

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Hydrocolpos, uterus didelphys and septate vagina in association with ascites: antenatal sonographic detection.

Manzella

Filho

1998

Journal of Ultrasound in Medicine

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Hydrometrocolpos, uterus didelphys, and septate vagina: an antenatal sonographic diagnosis.

Cited by 18 publications

References 3 publications

Fetal magnetic resonance imaging in the antenatal diagnosis and management of hydrocolpos

Fetal magnetic resonance imaging in the antenatal diagnosis and management of hydrocolpos

The fetal presacral pseudo-mass: a normal sonographic variant.

Hydrocolpos, uterus didelphys and septate vagina in association with ascites: antenatal sonographic detection.

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