Yeni Doğan Döneminde Nadir Görülen Karında Kistik Kitle Nedeni: Hidrometrokolpos

Year 2021, , 724 - 726, 01.07.2021

Murat Başaranoğlu Serap Karaman , Veli Avci , Kemal Ayengin Erbil Karaman

https://doi.org/10.28982/josam.844756

Abstract

Hidrometrokolpos fetal hayatta vajenin ve uterusun çıkış yolu obstrüksiyonu sonucu meydana gelir. Yenidoğan döneminde çok nadir olarak karında kistik kitle ile kendini gösterir. Tanının gecikildiği olgularda üriner komplikasyonlar, solunum sıkıntısı ve gastrointestinal obstrüksiyonlar gelişebilir. Erken cerrahi drenaj ve onarım ile bu komplikasyonların önüne geçilebilir. Bu çalışmada intrauterin vajinal atreziye bağlı karında kistik kitleyle kendini gösteren; bilateral hidronefroz, ürosepsis ve solunum problemlerine neden olan hidrometrokolpos olgusunu sunduk.

Keywords

Hidrometrokolpos, yeni doğan, kistik kitle

A rare cause of abdominal cyst in the neonatal period: Hydrometrocolpos

Abstract

Hydrometrocolpos is a clinical condition that arises from vaginal outflow obstruction during fetal life and rarely manifests with an abdominal cystic mass in the neonatal period. In cases with delayed diagnosis, urinary complications, respiratory distress, and gastrointestinal obstructions may occur and thus a prompt diagnosis is of prime importance for the prevention of such complications via surgical drainage and repair. In the present study, we report on a neonatal hydrometrocolpos case manifesting as an abdominal cyst associated with intrauterine vaginal atresia and causing bilateral hydronephrosis, urosepsis, and respiratory distress.

Keywords

Hydrometrocolpos, Neonate, Cystic mass

References

• 1. Khanna K, Sharma S, Gupta DK. Hydrometrocolpos etiology and management: past beckons the present. Pediatr Surg Int. 2018;34(3):249-61.
• 2. Ayaz UY, Dilli A, Api A. Ultrasonographic diagnosis of congenital hydrometrocolpos in prenatal and newborn period: a case report. Medical ultrasonography. 2011;13:234-6.
• 3. Nazir Z, Rizvi RM, Qureshi RN, Khan ZS, Khan Z. Congenital vajinal obstructions: varied presentation and outcome. Pediatr Surg Int. 2006;22(9):749-53
• 4. Nigam A, Kumar M, Gulati S. Fetal ascites and hydrometrocolpos due to persistent urogenital sinus and cloaca: a rare congenital anomaly and review of literature. BMJ Case Rep. 2014; published online: 24 January 2014. 10.1136/bcr-2013-202231.
• 5. Okoro PE, Obiorah C, Enyindah CE. Experience with neonatal hydrometrocolpos in the Niger Delta area of Nigeria: Upsurge or increased recognition? Afr J Paediatr Surg. 2016;13(4):161–5.
• 6. Koc M, Akyol M. Imperofrate hymen: A rare cause of urinary retention: a case report. Journal of Inonu University Medical Faculty. 2008;15:125-7.
• 7. Warne S, Chitty LS, Wilcox DT. Prenatal diagnosis of cloacal anomalies. BJU Int. 2002;89:78–81.
• 8. Sharma D, Murki S, Pratap OT, Irfan G, Kolar GA. Case of hydrometrocolpos and polydactyly. Clin Med Insights Pediatr. 2015;14,9:7-11.