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Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
ISSN: 1018-4406
EISSN: 1018-4406
Vol. 18, No. 1, 2008, pp. 67-70
Bioline Code: pe08011
Full paper language: English
Document type: Case Report
Document available free of charge

Iranian Journal of Pediatrics, Vol. 18, No. 1, 2008, pp. 67-70

 en Hydrometrocolpos Due to Persistent Urogenital Sinus Mimicking Neonatal Ascites
Khan, Rizwan Ahmad; Ghani, Imran & Wahab, Shagufta


Objective: A urogenital sinus is a common channel into which both the urethra and genital tracts open. Occasionally there might be transverse obstructing membrane leading to hydrometrocolpos from either uterine secretions or urine. Although the presentation is varied, a neonatal presentation of a large hydrometrocolpos mimicking gross ascites is rare.
Case Presentation:A 3-day-old female infant was referred to us from periphery as a case of gross ascites of unknown cause. Patient was having rapid and shallow breathing and had gross ascites. The patient was evaluated and was diagnosed to have large hydrometrocolpos.
Conclusion: To avoid unnecessary delay in diagnosis and proper treatment the possibility of hydrometrocolpos secondary to urogenital sinus presenting as generalized abdominal distension should be kept in mind. A focused genital examination can help achieve the diagnosis.

Hydrometrocolpos, Urogenital sinus, Neonatal ascites

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