Journal of Pediatric and Adolescent Gynecology
Volume 19, Issue 2 , Pages 99-103, April 2006

Congenital Imperforate Hymen and Its Life-threatening Consequences in the Neonatal Period

  • A. El-Messidi, MDCM

      Affiliations

    • Department of Obstetrics and Gynecology, University of Ottawa, Ontario, Canada
    • ,
  • N.A. Fleming, MD, FRCSC

      Affiliations

    • Children's Hospital of Eastern Ontario, Ontario, Canada
    • Department of Obstetrics and Gynecology, The Ottawa Hospital, Ontario, Canada
    • Corresponding Author InformationAddress reprint requests to: Dr. N.A. Fleming, Children's Hospital of Eastern Ontario, Division of Pediatric and Adolescent Gynecology, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada

Abstract 

Imperforate hymen is most commonly an isolated finding and usually remains asymptomatic until puberty. Rarely, symptoms of imperforate hymen manifest antenatally as well as in the neonatal period, requiring surgical correction for life-threatening consequences. We report a 5-day-old infant with a large hydrometrocolpos causing severe renal compromise and abdominal ascites, successfully surgically treated in the neonatal period. Associated polydactyly suggested McKusick-Kaufman syndrome.

Key Words: Imperforate hymen, McKusick-Kaufman syndrome, Müllerian anomalies, Neonate, Hydrometrocolpos, Renal failure

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PII: S1083-3188(06)00014-3

doi:10.1016/j.jpag.2006.01.005

Journal of Pediatric and Adolescent Gynecology
Volume 19, Issue 2 , Pages 99-103, April 2006

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