A Case of Obstructed Hemivagina with Ectopic Ureter Leading to Severe Hydrocolpos and Contralateral Renal Outflow Tract Obstruction in a Neonate - 04/06/15
, James C. Sander, MD 2, 3, Nicolette K. Janzen, MD 2, 3, Jennifer E. Dietrich, MD, MSc 1, 3Abstract |
Background |
Renal and Müllerian anomalies are frequently associated. Young age at presentation can present challenges in diagnosis and management. We report a case with an unusual presentation and management of this association in the neonatal period.
Case |
A 2-day-old girl had hydronephrosis with a large pelvic fluid collection. Magnetic resonance imaging of the pelvis demonstrated right hydronephrosis and uterine didelphys with an obstructed left hemivagina with hydrocolpos. A tube vaginostomy was used to decompress the vagina. Fluid was consistent with urine from an ectopic ureteral implantation from a dysgenetic left kidney, which was removed.
Summary and Conclusion |
For obstructed hemivagina in a newborn, expanding fluid collections may be addressed with a drain to avoid mass effect and to aid in the diagnosis. Resection of the vaginal obstruction is performed when the patient is older. A nonfunctional kidney can be removed to eliminate fluid accumulation in the obstructed space.
Le texte complet de cet article est disponible en PDF.Key Words : Müllerian anomalies, Hydronephrosis, Obstructed hemivagina, Ectopic ureter, Hydrocolpos, Renal outflow tract obstruction, Neonates
Plan
| The authors report no conflicts of interest. |
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