A Case of Congenital Imperforate Hymen With Abdominal Mass Detected by Fetal Ultrasonography

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  • Ito Akari
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Masumoto Kouji
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Chiba Fumiko
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Horiguchi Hinako
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba

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Other Title
  • 胎児期に腹部腫瘤として発見された先天性処女膜閉鎖症の1例
  • タイジキ ニ フクブ シュリュウ ト シテ ハッケン サレタ センテンセイ ショジョマク ヘイサショウ ノ 1レイ

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Abstract

<p>A four-day-old girl with a congenital imperforate hymen and an abdominal mass was referred to our hospital. The mass was detected by fetal ultrasonography at 39 weeks of gestation and suspected to be an ovarian cyst. On admission, we found an imperforate hymen and hydrocolpos by vulvar examination and ultrasonography. Owing to a giant hydrocolpos, hymenotomy was performed, and a white turbid fluid of 95 ml volume was drained. After the procedure, the hydrocolpos showed improvement. An imperforate hymen with symptoms in the neonatal period is rare, but occasionally, the secretion accumulates in the vagina owing to maternal female hormones. From our experience, a simple hymenotomy is effective for cases with an imperforate hymen associated with giant hydrocolpos.</p>

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