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| Year : 2000 | Volume
: 5
| Issue : 4 | Page : 156-159 |
Hydrometrocolpos : an uncommon problem for pediatric surgeons
T Banu, AU Huq, MM Rahman
Department of Pediatric Surgery Chittagong Medical College & Hospital, Bangladesh
Correspondence Address:
T Banu
Department of Pediatric Surgery Chittagong Medical College & Hospital
Bangladesh
 Source of Support: None, Conflict of Interest: None  | Check |
ABSTRACT: Though hydrometrocolpos is not common (incidence of 1 in 16,000), 5 cases of the condition was recorded at the Pediatric Surgery Department, Chittagong Medical College Hospital, between 1994 and 1999. Four 1-day-old patients and one 1-year-old patient presented with abdominal distension (all 5), renal failure (4), ambiguous genitalia (1), and pre-rectal bleeding (1). Two patients had multiple congenital anomalies (McKusick Kaufman Syndrome). Perineal examination was done in all the cases except 1, which was provisionally diagnosed as a case of intussusception. Ultrasonography, radiological examination and isotope renal scan were done. Vaginal decompression was done in 4 cases followed by vaginoplasty in 3. One patient died before any surgical intervention, 1 died post-operatively and another of renal failure at the age of 9 months. The 2 survivors are in good condition until the writing of this report. This study observed that besides abdominal distension, renal failure is also a common presentation in hydrometrocolpos. Since patients with multiple congenital anomalies have a bad prognosis, awareness about this entity is necessary for proper diagnosis and treatment.
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