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@article{2423800,
author = {Jouza, Martin and Rejdová, Ingrid and Cintula, Lukáš and Jouzová, Anna and Jabandžiev, Petr},
article_location = {London},
article_number = {1},
doi = {http://dx.doi.org/10.1186/s40748-024-00179-3},
keywords = {Hydrocolpos; Bowel obstruction; Preterm neonate; Imperforate hymen},
language = {eng},
issn = {2054-958X},
journal = {Maternal Health, Neonatology and Perinatology},
title = {Hydrocolpos causing bowel obstruction in a preterm newborn: a case report},
url = {https://mhnpjournal.biomedcentral.com/articles/10.1186/s40748-024-00179-3},
volume = {10},
year = {2024}
}
TY - JOUR
ID - 2423800
AU - Jouza, Martin - Rejdová, Ingrid - Cintula, Lukáš - Jouzová, Anna - Jabandžiev, Petr
PY - 2024
TI - Hydrocolpos causing bowel obstruction in a preterm newborn: a case report
JF - Maternal Health, Neonatology and Perinatology
VL - 10
IS - 1
SP - 1-6
EP - 1-6
PB - BMC
SN - 2054958X
KW - Hydrocolpos
KW - Bowel obstruction
KW - Preterm neonate
KW - Imperforate hymen
UR - https://mhnpjournal.biomedcentral.com/articles/10.1186/s40748-024-00179-3
N2 - Background Imperforate hymen is the most common congenital defect of the female urogenital tract. The spectrum of clinical manifestations is broad, ranging from mild cases undiagnosed until adolescence to severe cases of giant intraabdominal masses. The most common complication of hydrocolpos is bladder compression, resulting in obstructive uropathy and hydronephrosis. Case presentation We present here the case of a preterm neonate who was admitted to the surgical neonatal intensive care unit for bowel obstruction. The baby did not appear septic or unwell, a small amount of meconium passed frequently, and no bilious gastric residuals occurred. Based on these findings, acute abdominal obstruction was doubtful, and the surgeon chose a conservative (watch and wait) approach. Subsequently, we performed abdominal ultrasound and magnetic resonance imaging based on unclear information about a suspicious abdominal mass raised by the gynecologist shortly before the emergency C-section. The final diagnosis was congenital hydrocolpos due to imperforate hymen. The pediatric gynecologist indicated an incision of the imperforate hymen under general anesthesia. The incision resolved abdominal distention as well as the bowel obstruction. Conclusion The presentation of hydrocolpos was not typical (no bulging in the vaginal introitus) in our case, and clinical symptoms implied acute bowel obstruction shortly after birth. The surgeon chose a conservative (watch and wait) approach as the baby did not appear unwell on the second day of life. Fortunately, diagnostic laparotomy was not required as the next step in bowel obstruction management. All clinical symptoms resolved after a minor surgical procedure.
ER -
JOUZA, Martin, Ingrid REJDOVÁ, Lukáš CINTULA, Anna JOUZOVÁ a Petr JABANDŽIEV. Hydrocolpos causing bowel obstruction in a preterm newborn: a case report. \textit{Maternal Health, Neonatology and Perinatology}. London: BMC, 2024, roč.~10, č.~1, s.~1-6. ISSN~2054-958X. Dostupné z: https://dx.doi.org/10.1186/s40748-024-00179-3.
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