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Hydrocolpos
Paula J. Woodward, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Vaginal obstruction with resulting distension from vaginal and uterine secretions
                • Isolated hydrocolpos: Fluid accumulation in vagina only
                  • Distinct entity from hydrocolpos in association with cloacal anomalies
                • Hydrometrocolpos: Fluid accumulation in uterus and vagina

              IMAGING

              • General Features

                • Ultrasonographic Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Ray A et al: Congenital hydrocolpos: diagnostic journey and management-a case report. J Obstet Gynaecol India. 70(5):407-8, 2020
                                        2. Garcia Rodriguez R et al: Fetal hydrometrocolpos and congenital imperforate hymen: prenatal and postnatal imaging features. J Clin Ultrasound. 46(8):549-52, 2018
                                        3. Alici Davutoglu E et al: Prenatal diagnosis of isolated foetal hydrocolpos secondary to congenital imperforate hymen mimicking ambiguous genitalia. J Obstet Gynaecol. 37(2):248-9, 2017
                                        4. Nakajima E et al: Prenatal diagnosis of congenital imperforate hymen with hydrocolpos. J Obstet Gynaecol. 35(3):311-3, 2015
                                        5. Capito C et al: Prenatal pelvic MRI: additional clues for assessment of urogenital obstructive anomalies. J Pediatr Urol. 10(1):162-6, 2014
                                        6. Tsai HF et al: Prenatal ultrasonography and postnatal follow-up of a case of McKusick-Kaufman syndrome. Taiwan J Obstet Gynecol. 53(2):241-4, 2014
                                        7. Murthy V et al: Two neonates with congenital hydrocolpos. Case Rep Pediatr. 2013:692504, 2013
                                        8. Witters I et al: Fetal hydrometrocolpos, uterus didelphys with low vaginal and anal atresia: difficulties in differentiation from a complex cloacal malformation: a case report. Genet Couns. 23(4):513-7, 2012
                                        9. Bhargava P et al: Prenatal US diagnosis of congenital imperforate hymen. Pediatr Radiol. 39(9):1014, 2009
                                        10. Tseng JJ et al: Prenatal diagnosis of isolated fetal hydrocolpos secondary to congenital imperforate hymen. J Chin Med Assoc. 71(6):325-8, 2008
                                        11. Yildirim G et al: Prenatal diagnosis of imperforate hymen with hydrometrocolpos. Arch Gynecol Obstet. 278(5):483-5, 2008
                                        12. Adaletli I et al: Congenital imperforate hymen with hydrocolpos diagnosed using prenatal MRI. AJR Am J Roentgenol. 189(1):W23-5, 2007
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Definitions

                                                      • Vaginal obstruction with resulting distension from vaginal and uterine secretions
                                                      • Isolated hydrocolpos: Fluid accumulation in vagina only
                                                        • Distinct entity from hydrocolpos in association with cloacal anomalies
                                                      • Hydrometrocolpos: Fluid accumulation in uterus and vagina

                                                    IMAGING

                                                    • General Features

                                                      • Ultrasonographic Findings

                                                        • MR Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Gross Pathologic & Surgical Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Ray A et al: Congenital hydrocolpos: diagnostic journey and management-a case report. J Obstet Gynaecol India. 70(5):407-8, 2020
                                                                              2. Garcia Rodriguez R et al: Fetal hydrometrocolpos and congenital imperforate hymen: prenatal and postnatal imaging features. J Clin Ultrasound. 46(8):549-52, 2018
                                                                              3. Alici Davutoglu E et al: Prenatal diagnosis of isolated foetal hydrocolpos secondary to congenital imperforate hymen mimicking ambiguous genitalia. J Obstet Gynaecol. 37(2):248-9, 2017
                                                                              4. Nakajima E et al: Prenatal diagnosis of congenital imperforate hymen with hydrocolpos. J Obstet Gynaecol. 35(3):311-3, 2015
                                                                              5. Capito C et al: Prenatal pelvic MRI: additional clues for assessment of urogenital obstructive anomalies. J Pediatr Urol. 10(1):162-6, 2014
                                                                              6. Tsai HF et al: Prenatal ultrasonography and postnatal follow-up of a case of McKusick-Kaufman syndrome. Taiwan J Obstet Gynecol. 53(2):241-4, 2014
                                                                              7. Murthy V et al: Two neonates with congenital hydrocolpos. Case Rep Pediatr. 2013:692504, 2013
                                                                              8. Witters I et al: Fetal hydrometrocolpos, uterus didelphys with low vaginal and anal atresia: difficulties in differentiation from a complex cloacal malformation: a case report. Genet Couns. 23(4):513-7, 2012
                                                                              9. Bhargava P et al: Prenatal US diagnosis of congenital imperforate hymen. Pediatr Radiol. 39(9):1014, 2009
                                                                              10. Tseng JJ et al: Prenatal diagnosis of isolated fetal hydrocolpos secondary to congenital imperforate hymen. J Chin Med Assoc. 71(6):325-8, 2008
                                                                              11. Yildirim G et al: Prenatal diagnosis of imperforate hymen with hydrometrocolpos. Arch Gynecol Obstet. 278(5):483-5, 2008
                                                                              12. Adaletli I et al: Congenital imperforate hymen with hydrocolpos diagnosed using prenatal MRI. AJR Am J Roentgenol. 189(1):W23-5, 2007