Purulent Abdominal Abscess Presented by Hydrometrocolpos in a Newborn

Authors

1 Specialist of pediatrics, Faculty of Medicine, Mashhad University of Medical sciences, Mashhad, Iran.

2 Razavi Cancer Research Center, Razavi Hospital, Imam Reza International University, Mashhad, Iran

Abstract

In this study, a 3-day-old newborn with ambiguous genitalia and abdominal mass - the cause of which was not determined in multiple ultrasounds- is introduced. The ultrasound indicated severe bilateral hydronephrosis in the newborn, and based on the results of the tests, the catheterization and VCUG was performed using cystoscopy. According to the results of ultrasound, hydrometrocolpos was suspected for the newborn and surgical procedure was performed. It turned out that the mass was an abdominal abscess filled with pus, and due to its pressure on the urethra, we had to perform nephrostomy on the patient.

Keywords


  1. 1.Messina M, Severi FM, Bocchi C, Ferrucci E, Di Maggio G, Petraglia F. Voluminous perinatal pelvic mass: a case of congenital hydrometrocolpos. J Matern Fetal Neonatal Med. 2004;15(2):135-7. doi: 10.1080/14767050410001659888. [PubMed: 15209124].

    1. Bhargava P, Dighe M. Prenatal US diagnosis of congenital imperforate hymen. Pediatr Radiol. 2009;39(9):1014. doi: 10.1007/s00247-009-1222-9. [PubMed: 19305987].
    2. Vitale V, Cigliano B, Vallone G. Imperforate hymen causing hydrometrocolpos. J Ultrasound. 2013;16(1):37-9. doi: 10.1007/ s40477-013-0009-x. [PubMed: 24046799].
    3. Tseng JJ, Ho JY, Chen WH, Chou MM. Prenatal diagnosis of isolated fetal hydrocolpos secondary to congenital imperforate hymen. J Chin Med Assoc. 2008;71(6):325-8. doi: 10.1016/ S1726-4901(08)70132-1. [PubMed: 18567566].
    4. Tilahun B, Woldegebriel F, Wolde Z, Tadele H. Hydrometrocolpos presenting as a huge abdominal swelling and obstructive uropathy in a 4 day old newborn: a diagnostic challenge. Ethiop J Health Sci. 2016;26(1):89-91. [PubMed: 26949322].
    5. Mittal S, Taneja BK, Goel A, Ananna P. A rare case of pyometrocolpos: consequence of distal vaginal septum. Korean J Obstet Gynecol. 2012;55(3):197-200. doi: 10.5468/KJOG. 2012.55.3.197.
    6. Gupta DK, Sharma S. Pediatric gynecology: hydrometrocolpos. In: Puri P, Höllwarth ME, editors. Pediatric surgery: diagnosis and management. Heidelberg (DE): Springer; 2009. P. 957-66.
    7. Kalmantis K, Koumpis C, Daskalakis G, Papantoniou N, Mesogits S, Antsaklis A. Imperforate hymen with hematocolpometra combined with elevated Ca125. Bratisl Lek Listy. 2009;110(2):120-2. [PubMed: 19408846].
    8. Sharifiaghdas F, Abdi H, Pakmanesh H, Eslami N. Imperforate hymen and urinary retention in a newborn girl. J Pediatr Adolesc Gynecol. 2009;22(1):49-51. [PubMed: 19241622].
    9. Nagaraj BR, Basavalingu D, Paramesh VM, Nagendra PD. Radiological diagnosis of neonatal hydrometrocolpos- a case report. J Clin Diagn Res. 2016;10(3):TD18-9. doi: 10.7860/JCDR/2016/18537.7510. [PubMed: 27134971].