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Hydrocolpos
Paula J. Woodward, MD; Nicole S. Winkler, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • Hydrometrocolpos (includes distension of uterus)
              • Definitions

                • Vaginal obstruction with resulting distension of compliant vagina with vaginal and uterine secretions
                • Isolated hydrocolpos
                  • Distinct entity from hydrocolpos in association with cloacal anomalies

              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

                                        • Reporting Tips

                                          Selected References

                                          1. Capito C et al: Prenatal pelvic MRI: additional clues for assessment of urogenital obstructive anomalies. J Pediatr Urol. 10(1):162-6, 2014
                                          2. 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
                                          3. Murthy V et al: Two neonates with congenital hydrocolpos. Case Rep Pediatr. 2013:692504, 2013
                                          4. 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
                                          5. Bhargava P et al: Prenatal US diagnosis of congenital imperforate hymen. Pediatr Radiol. 39(9):1014, 2009
                                          6. Tseng JJ et al: Prenatal diagnosis of isolated fetal hydrocolpos secondary to congenital imperforate hymen. J Chin Med Assoc. 71(6):325-8, 2008
                                          7. Yildirim G et al: Prenatal diagnosis of imperforate hymen with hydrometrocolpos. Arch Gynecol Obstet. 278(5):483-5, 2008
                                          8. Adaletli I et al: Congenital imperforate hymen with hydrocolpos diagnosed using prenatal MRI. AJR Am J Roentgenol. 189(1):W23-5, 2007
                                          9. Saxena R et al: Fetal hydrometrocolpos. Ultrasound Obstet Gynecol. 3(5):360-1, 1993
                                          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

                                                      • Synonyms

                                                        • Hydrometrocolpos (includes distension of uterus)
                                                      • Definitions

                                                        • Vaginal obstruction with resulting distension of compliant vagina with vaginal and uterine secretions
                                                        • Isolated hydrocolpos
                                                          • Distinct entity from hydrocolpos in association with cloacal anomalies

                                                      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

                                                                                • Reporting Tips

                                                                                  Selected References

                                                                                  1. Capito C et al: Prenatal pelvic MRI: additional clues for assessment of urogenital obstructive anomalies. J Pediatr Urol. 10(1):162-6, 2014
                                                                                  2. 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
                                                                                  3. Murthy V et al: Two neonates with congenital hydrocolpos. Case Rep Pediatr. 2013:692504, 2013
                                                                                  4. 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
                                                                                  5. Bhargava P et al: Prenatal US diagnosis of congenital imperforate hymen. Pediatr Radiol. 39(9):1014, 2009
                                                                                  6. Tseng JJ et al: Prenatal diagnosis of isolated fetal hydrocolpos secondary to congenital imperforate hymen. J Chin Med Assoc. 71(6):325-8, 2008
                                                                                  7. Yildirim G et al: Prenatal diagnosis of imperforate hymen with hydrometrocolpos. Arch Gynecol Obstet. 278(5):483-5, 2008
                                                                                  8. Adaletli I et al: Congenital imperforate hymen with hydrocolpos diagnosed using prenatal MRI. AJR Am J Roentgenol. 189(1):W23-5, 2007
                                                                                  9. Saxena R et al: Fetal hydrometrocolpos. Ultrasound Obstet Gynecol. 3(5):360-1, 1993