Hydrometrocolpos in a newborn

Cover Page

Cite item


Purpose. To demonstrate a clinical case of hydrometrocolpos in a newborn and present a related literature review. Material. Our patient was a neonate born from the 2 pregnancy complicated with anemia and acute respiratory failure during trimester 1 and 3, respectively. A congenital malformation of the right ovarian cyst was found during an antenatal examination done at week 32 of gestation. Delivery at term. Planned Cesarean section was performed at 39 weeks of pregnancy after a uterine scar. At birth, the child’s condition was found satisfactory, the odds ratio was 7–8 scores. Pathological prolapse of soft and elastic formation without local hyperemia and hyperthermia through the interlabial space was found during the primary examination; it was fluctuating on palpation. Echography detected a large mass with distinct borders in the cavity of the lesser pelvis and bilateral ureterohydronephrosis. The abnormality was treated as an ovarian cyst compressing the pelvic sections of both ureters and resulting in secondary ureterohydronephrosis. A gynecologist made a puncture of the mass, liquid content was obtained and it was diagnosed as follows: a congenital ovarian cyst? A vaginal cyst? Results. The patient was consulted by a pediatric surgeon following worsening of her condition and reoccurrence of symptoms at day 7. The child was diagnosed with an imperforate hymen resulting in hydrometrocolpos. Cruciate hymenotomy resolved the condition. The girl was discharged in a satisfactory condition. Conclusion. Hydrometrocolpos in neonates often results in diagnostic and therapeutic mistakes due to differences in differential diagnosis.

About the authors

I. H. Shidakov

Republican State Budgetary Treatment and Prevention Institution “Republican Perinatal Center”

Author for correspondence.
Email: islam_shidakov@mail.ru
ORCID iD: 0000-0002-2066-1944

Islam H. SHIDAKOV – Pediatric surgeon

Griboedova str. 77, Cherkessk, 369010
phone: 8(928)393–32–55 

Russian Federation

B. M. Kalniyazov

Republican State Budgetary Treatment and Prevention Institution “Republican Perinatal Center”

Email: fake@neicon.ru

Bakhtiyar M. KALNIYAZOV – Pediatric surgeon

Griboedova str. 77, Cherkessk, 369010

Russian Federation


  1. Саванович И. И., Доронина О. К., Сикорский А. В. Врожденные аномалии развития половых органов у девочек в дифференциальной диагностике болезней органов пищеварения. Медицинский журнал. 2016;3(57):112–115
  2. Костюков К. В., Подуровская Ю. Л., Кучеров Ю. И., Гус А. И. Пренатальная диагностика синдрома обструкции одного из удвоенных влагалищ в сочетании с ипсилатеральной аномалией почки. Ультразвуковая и функциональная диагностика. 2011;3:78–81
  3. Garcia Rodriguez R., Pérez González J., Garcia Delgado R., Rodriguez Guedes A., de Luis Alvarado M., Medina Castellano M., Garcia Hernandez J. A. Fetal hydrometrocolpos and congenital imperforate hymen: Prenatal and postnatal imaging features. J. Clin. Ultrasound. 2018 Oct;46(8):549–52 doi: 10.1002/jcu.22588
  4. Khanna K., Sharma S., Gupta D. K. Hydrometrocolpos etiology and management: past beckons the present. Pediatr Surg Int. 2018 Mar;34(3):249–61 doi: 10.1007/s00383–017–4218–9
  5. Медведев М. В., Бурякова С. И., Козлова О. И. Пренатальная ультразвуковая диагностика гидрометрокольпоса. Пренатальная диагностика. 2011;11(1):74–76
  6. Grimstad F., Strickland J., Dowlut-McElroy T. Management and prevention of postoperative complications in a neonate with a symptomatic imperforate hymen. J. Pediatr. Adolesc. Gynecol. 2019 Aug;32(4):429–31 doi: 10.1016/j.jpag.2019.04.003
  7. Румянцева Н. В. Редкие генетические болезни: синдром Йохансон– Близзарда: фенотипические проявления у новорожденных (случай из практики). Репродуктивное здоровье. Восточная Европа. 2012;5(23):559–562
  8. Ben Hamouda H., Ghanmi S., Soua H., Sfar M. T. Spontaneous rupture of the imperforate hymen in two newborns. Arch Pediatr. 2016 Mar;23(3):275–8 doi: 10.1016/j.arcped.2015.11.022
  9. Slavotinek A. M. McKusick-Kaufman Syndrome. 2002 Sep 10 [updated 2015 Jun 4]. In: Adam M. P., Ardinger H. H., Pagon R. A., Wallace S. E., Bean L. J., Stephens K., Amemiya A., editors. GeneReviews [Internet]. Seattle (WA): University of Washington, Seattle; 1993–2019. Available from http://www.ncbi.nlm.nih.gov/books/NBK1502
  10. Nagaraj B. R., Basavalingu D., Paramesh V. M., Nagendra P. D. Radiological diagnosis of neonatal hydrometrocolpos a case report. J. Clin. Diagn. Res. 2016 Mar;10(3):TD18–9 doi: 10.7860/JCDR/2016/18537.7510
  11. Kanda T., Iizuka T., Yamazaki R., Iwadare J., Ono M., Fujiwara H. Giant fetal hydrometrocolpos associated with cloacal anomaly causing postnatal respiratory distress. J. Obstet. Gynaecol. Res. 2017 Nov;43(11):1769–72 doi: 10.1111/jog.13433
  12. Adam A., Hellig J., Mahomed N., Lambie L. Recurrent urinary tract infections in a female child with polydactyly and a pelvic mass: consider the McKusick-Kaufman syndrome. Urology. 2017 May;103:224–6 doi: 10.1016/j.urology.2017.01.024
  13. Celik M., Bulbul A., Uslu S., Dursun M., Turkoglu E., Sever N. A rare reason of the elevated serum Ca 19–9 and Ca 125 levels in neonatal period: Hydrometrocolpos due to distal vaginal atresia. Int. J. Surg. Case Rep. 2015;11:44–5 doi: 10.1016/j.ijscr.2015.04.005
  14. Arena S., Russo T., Perrone P., Romeo C. Operative cystoscopy in the neonatal period. Pediatr. Med. Chir. 2016 Dec 20;38(3):136. doi: 10.4081/pmc.2016.136
  15. 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 Jan;26(1):89–91
  16. Bischoff A., Alaniz V. I., Trecartin A., Peña A. Vaginal reconstruction for distal vaginal atresia without anorectal malformation: is the approach different? Pediatr. Surg. Int. 2019 Sep; 35(9):963–6 doi: 10.1007/s00383–019–04512–2

Copyright (c) 2019 Shidakov I.H., Kalniyazov B.M.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: ПИ № ФС 77 - 81892 от 24.09.2021 г.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies