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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 2000  |  Volume : 5  |  Issue : 4  |  Page : 156-159

Hydrometrocolpos : an uncommon problem for pediatric surgeons

Department of Pediatric Surgery Chittagong Medical College & Hospital, Bangladesh

Correspondence Address:
T Banu
Department of Pediatric Surgery Chittagong Medical College & Hospital
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Source of Support: None, Conflict of Interest: None

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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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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

Online since 1st May '05