JOUZA, Martin, Ingrid REJDOVÁ, Lukáš CINTULA, Anna JOUZOVÁ and Petr JABANDŽIEV. Hydrocolpos causing bowel obstruction in a preterm newborn: a case report. Maternal Health, Neonatology and Perinatology. London: BMC, 2024, vol. 10, No 1, p. 1-6. ISSN 2054-958X. Available from: https://dx.doi.org/10.1186/s40748-024-00179-3.
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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
Original language English
Type of outcome Article in a journal
Field of Study 30209 Paediatrics
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1186/s40748-024-00179-3
Keywords in English Hydrocolpos; Bowel obstruction; Preterm neonate; Imperforate hymen
Tags rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 19/8/2024 10:58.
Abstract
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.
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