Hydrometrocolpos

Hydrometrocolpos was diagnosed in a neonate shortly after birth. A large collection of fluid was immediately removed from the distended vagina; hymenotomy was performed. This was treated and she was put on prophylactic antibiotic. Hydrometrocolpos is a rare congenital disorder in which excessive mucus secretions accumulate from a genital tract obstruction resulting in cystic dilatation of the vagina and uterus. It is the accumulation and distention of the uterus and vagina by a fluid other than blood or pus. Recurrence of hydrometrocolpos following surgical repair may lead to serious sequelae, such as chronic renal failure. The spectrum of hydrometrocolpos is broad, ranging from mild cases undetected until adolescence to more severe conditions described prenatally as a large pelviabdominal cystic mass. The authors describe the prenatal sonographic detection of a double cystic pelvic mass subsequently proven to be hydrometrocolpos in a fetus with marked ascites, pyelocaliectasis, pulmonary hypoplasia, and uterine duplication. We believe that MKS is a distinct panethnic genetic entity, inherited in an autosomal recessive fashion, and that the diagnosis should be made only in female patients with hydrometrocolpos and polydactyly or in male patients with polydactyly who have an affected female relative. Prenatal diagnosis of hydrometrocolpos by sonogram allows appropriate management during the prenatal and neonatal period. The combination of hydrometrocolpos and polydactyly is the cardinal hallmark feature of McKusick-Kaufman Syndrome.

Causes of Hydrometrocolpos

The common Causes of Hydrometrocolpos :

• Surgery involving the urethra.
• Some types of bladder surgery.
• Diabetes.
• Multiple sclerosis.
• Side effect of certain medications, including some psychiatric drugs and medications used to treat high blood pressure and prostate enlargement.
• Some types of bladder surgery.

Symptoms of Hydrometrocolpos

Some common Symptoms of Hydrometrocolpos :

• Abdominal pain alternating with some pain-free periods.
• As the condition progresses, the infant becomes weak and then shocky with pale color, lethargy, and sweating.
• Frequent chest and sinus infections with recurring pneumonia or bronchitis.
• As a child's condition worsens, vomiting decreases. Green fluid in vomit is a sign that the intestine is blocked.

Treatment of Hydrometrocolpos

• The baby showed masculinisation without clitoral enlargement and a narrow urogenital sinus with resulting hydrometrocolpos.
• Postoperative follow-up is deferred for 6-8 weeks to allow the patient to reestablish a menstrual cycle.
• It is possible that dexamethasone treatment which is initially inadequate increases the risk of this latter complication.
• Surgical hydrometrocolpos for imperforate should require only one definitive procedure to evacuate retained secretions and to assure maintenance of patency.
• Usually the bowel tissue can be saved, but if not, any dead tissue will be removed.
• In some cases, the bowel obstruction can be treated with a barium enema performed by a skilled radiologist.

Women's Health

Adenomyosis
Ahumada-Del Castillo Syndrome
Anovulatory cycles
Asherman's syndrome
Atrophic vaginitis
Bacterial vaginosis
Baker's Cyst
Bartholion gland cyst
Candida infection
Cervical Ectropion
Cervical Erosion
Cervical mucous
Cervical polyp
Cystocele
Cystocoele
Dermoid Cysts
Dry vagina
Endometriosis
Enterocoele
Fibroids
Ganglion cysts
Gonorrhoea
Hydrometrocolpos
Hysteria
Lactose intolerance
Laryngitis
Legionnaire's disease
Leprosy
Leptospirosis
Leucorrhoea
Leukaemia
Lice infestation
Lichen planus
Lipoma
Liver cirrhosis
Mittelschmerz
Nabothian gland cyst
Oestogen dominance
Ovarian cysts
Pelvic inflammatory disease
Pilonidal cyst
Polycystic ovary syndrome
Popliteal cysts
Rectocoele
Sebaceous cysts
Trichomonas infection
Urethral caruncle
Urethrocoele
Vaginal atrophy
Vaginitis
Vulvodynia
Wernicke korsakoff synodrome