Neonatal hydrocolpos
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Abstract
Background: Neonatal hydrocolpos is a rare pathology characterized by dilation and accumulation of fluid in the vaginal canal due to congenital vaginal obstructions. The use of ultrasound is an essential diagnostic means to provide timely treatment and reduce its complications. Case report: A 39-week-old newborn presented an imperforate anus and a distended abdomen. An abdominal ultrasound was performed, showing hydrocolpos and moderate bilateral hydroureteronephrosis. Among the laboratory findings, renal failure, hyponatremia, and coagulation disorder were diagnosed, which was timely corrected. She underwent surgery, performing colpotomy and drainage of hydrocolpos, later showing its disappearance on ultrasound. The patient was discharged at 28 days of age due to a satisfactory evolution. Conclusion: Hydrocolpos should be highly suspected of a mass at the pelvis level in a newborn. Early diagnosis by ultrasound is essential for preventing obstructive and renal complications that increase the morbidity and mortality of patients.
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