Prenatal ultrasonographic features of persistent urogenital sinus with hydrometrocolpos and ascites.
OBJECTIVE
Hydrometrocolpos is a rare congenital disorder very rarely reported on prenatal sonography. In this study we report a persistent urogenital sinus with hydrometrocolpos and ascites at 24 weeks of gestation.


METHODS
Detailed ultrasonographic examination revealed female fetus with pelvic mass measured as 60 x 70 x 80 mm, anterior to sacral bone and inferior to bladder, and ascites, ureterocele, hydroureter, hydronephrosis but normal amniotic fluid. Further examination showed that cervical canal and uterine cavity was in continuation with the pelvic mass and dilatation of uterine tubes implicated hydrometrocolpos. Physical examination of the neonate revealed a single anterior opening at perineum and a patent anus but no visible urethral orifice. A voiding cystourethrogram demonstrated a urethrovaginal fistula. The neonate underwent ureteroneoostomy and was discharged on day 10 for follow-up and final repair.


CONCLUSIONS
Prenatal ultrasonographic diagnosis of hydrometrocolpos in our case prevented unnecessary interventions and allowed early neonatal treatment.
Gul
Ahmet
A
Maternal and Fetal Unit, Department of Obstetrics and Gynecology, Istanbul Bakirkoy Women and Children Hospital, Istanbul, Turkey.
Yildirim
Gokhan
G
Gedikbasi
Ali
A
Gungorduk
Kemal
K
Ceylan
Yavuz
Y
D000328:Adult; D001201:Ascites / Q000150:complications / Q000151:congenital* / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D052202:Hydrocolpos / Q000150:complications / Q000151:congenital* / Q000000981:diagnostic imaging*; D007231:Infant, Newborn; D011247:Pregnancy; D016216:Ultrasonography, Prenatal; D014564:Urogenital Abnormalities / Q000150:complications / Q000000981:diagnostic imaging*