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. doi: 10.4314/ejhs.v26i1.15.

Abstract

Background: Abdominal swelling is an uncommon presentation in newborn babies. A combination of huge abdominal swelling, obstructive uropathy and imperforate hymen in newborns has not been reported in the medical literature.

Case details: We report a 4 days old newborn with a rare presentation of hydrometrocolpos which posed a diagnostic challenge and consequently resulted in delays in diagnosis and treatment.

Conclusion: Hydrometrocolpos should be considered as a differential diagnosis in neonates who present with huge abdominal swelling.

Keywords: Abdominal Swelling; Hydrometrocolpos; Imperforate Hymen; Neonate.

Publication types

  • Case Reports

MeSH terms

  • Abdomen*
  • Abnormalities, Multiple / diagnosis*
  • Congenital Abnormalities
  • Diagnosis, Differential
  • Edema / diagnosis*
  • Fatal Outcome
  • Female
  • Heart Defects, Congenital / diagnosis*
  • Humans
  • Hydrocolpos / diagnosis*
  • Hymen / abnormalities*
  • Infant, Newborn
  • Menstruation Disturbances / diagnosis*
  • Polydactyly / diagnosis*
  • Urinary Retention / diagnosis*
  • Uterine Diseases / diagnosis*

Supplementary concepts

  • Hymen, Imperforate
  • McKusick Kaufman syndrome