J 2024

Hydrocolpos causing bowel obstruction in a preterm newborn: a case report

JOUZA, Martin, Ingrid REJDOVÁ, Lukáš CINTULA, Anna JOUZOVÁ, Petr JABANDŽIEV et. al.

Basic information

Original name

Hydrocolpos causing bowel obstruction in a preterm newborn: a case report

Authors

JOUZA, Martin (203 Czech Republic, belonging to the institution), Ingrid REJDOVÁ (203 Czech Republic, belonging to the institution), Lukáš CINTULA (703 Slovakia), Anna JOUZOVÁ (203 Czech Republic, belonging to the institution) and Petr JABANDŽIEV (203 Czech Republic, belonging to the institution)

Edition

Maternal Health, Neonatology and Perinatology, London, BMC, 2024, 2054-958X

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30209 Paediatrics

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Organization unit

Faculty of Medicine

DOI

Keywords in English

Hydrocolpos; Bowel obstruction; Preterm neonate; Imperforate hymen

Tags

Tags

International impact, Reviewed
Změněno: 19/8/2024 10:58, Mgr. Tereza Miškechová

Abstract

V originále

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.