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Hydrocolpos

MedGen UID:
278046
•Concept ID:
C1399870
•
Disease or Syndrome
HPO: HP:0030711

Definition

Distention of the vagina caused by accumulation of fluid due to congenital vaginal obstruction. [from HPO]

Professional guidelines

PubMed

Hydrometrocolpos etiology and management: past beckons the present.
Khanna K, Sharma S, Gupta DK
Pediatr Surg Int 2018 Mar;34(3):249-261. Epub 2017 Nov 24 doi: 10.1007/s00383-017-4218-9. PMID: 29177625
Radiologic diagnosis of a newborn with cloaca.
Kraus SJ
Semin Pediatr Surg 2016 Apr;25(2):76-81. Epub 2015 Nov 10 doi: 10.1053/j.sempedsurg.2015.11.007. PMID: 26969230
The presentation and management of complex female genital malformations.
Acién P, Acién M
Hum Reprod Update 2016 Jan-Feb;22(1):48-69. Epub 2015 Nov 3 doi: 10.1093/humupd/dmv048. PMID: 26537987

Recent clinical studies

Etiology

Fetal ascites in cloacal malformations-a red flag.
Abdelmaksoud S, Lobo S, Cho A, Upasani A, Blackburn S, Curry J, Davies B, Martin R, De Win G, Cherian A
Pediatr Surg Int 2023 Nov 16;39(1):293. doi: 10.1007/s00383-023-05564-1. PMID: 37971531
Single institution experience of cloacal malformation.
Lane VA, Lall A, Jaffray B
J Pediatr Surg 2023 Feb;58(2):270-274. Epub 2022 Oct 22 doi: 10.1016/j.jpedsurg.2022.10.035. PMID: 36384941
Obstetrical Outcomes in Adult Patients Born with Complex Anorectal Malformations and Cloacal Anomalies: A Literature Review.
Vilanova-Sanchez A, McCracken K, Halleran DR, Wood RJ, Reck-Burneo CA, Levitt MA, Hewitt G
J Pediatr Adolesc Gynecol 2019 Feb;32(1):7-14. Epub 2018 Oct 24 doi: 10.1016/j.jpag.2018.10.002. PMID: 30367985
Short-term "double natural orifice catheterization": Nonoperative management of hydrocolpos in persistent cloaca patients - case series.
Višnjić S, Bastić M, Marčec M, Mesić M
J Pediatr Surg 2018 Apr;53(4):718-721. Epub 2017 Jun 27 doi: 10.1016/j.jpedsurg.2017.06.014. PMID: 28728829
Hydrocolpos in cloacal malformations.
Bischoff A, Levitt MA, Breech L, Louden E, Peña A
J Pediatr Surg 2010 Jun;45(6):1241-5. doi: 10.1016/j.jpedsurg.2010.02.097. PMID: 20620327

Diagnosis

Hydrometrocolpos: a Contemporary Review of the Last 5 Years.
Grant A, Carpenter CP, Li B, Kim SJ
Curr Urol Rep 2023 Dec;24(12):601-610. Epub 2023 Dec 1 doi: 10.1007/s11934-023-01191-4. PMID: 38038828
Surgical disorders in pediatric and adolescent gynecology: Vaginal and uterine anomalies.
Mentessidou A, Mirilas P
Int J Gynaecol Obstet 2023 Mar;160(3):762-770. Epub 2022 Aug 12 doi: 10.1002/ijgo.14362. PMID: 35880405
Congenital anomalies causing hemato/hydrocolpos: imaging findings, treatments, and outcomes.
Tanitame K, Tanitame N, Urayama S, Ohtsu K
Jpn J Radiol 2021 Aug;39(8):733-740. Epub 2021 Apr 11 doi: 10.1007/s11604-021-01115-7. PMID: 33840015Free PMC Article
Hydrometrocolpos etiology and management: past beckons the present.
Khanna K, Sharma S, Gupta DK
Pediatr Surg Int 2018 Mar;34(3):249-261. Epub 2017 Nov 24 doi: 10.1007/s00383-017-4218-9. PMID: 29177625
Hydrocolpos in cloacal malformations.
Bischoff A, Levitt MA, Breech L, Louden E, Peña A
J Pediatr Surg 2010 Jun;45(6):1241-5. doi: 10.1016/j.jpedsurg.2010.02.097. PMID: 20620327

Therapy

Characteristics of fetal physiological and pathological uterine effusion observed on prenatal ultrasonography: a case report.
Wang L, Chen L, Li D, Wang B, Yang Z
BMC Pregnancy Childbirth 2022 May 12;22(1):405. doi: 10.1186/s12884-022-04715-x. PMID: 35549889Free PMC Article
Microperforate Hymen and Pyocolpos: A Case Report and Review of the Literature.
Tardieu SC, Appelbaum H
J Pediatr Adolesc Gynecol 2018 Apr;31(2):140-142. Epub 2017 Aug 31 doi: 10.1016/j.jpag.2017.08.006. PMID: 28838865
Endoscopic surgery as an adjuvant treatment modality before or after definitive correction of cloacal anomalies.
Song SH, Kim A, Lim B, Park S, Kim KS
J Pediatr Urol 2014 Apr;10(2):336-43. Epub 2013 Oct 23 doi: 10.1016/j.jpurol.2013.09.025. PMID: 24456819
Ultrasound-guided percutaneous drainage of neonatal pyometrocolpos under local anesthesia.
Algin O, Erdogan C, Kilic N
Cardiovasc Intervent Radiol 2011 Feb;34 Suppl 2:S271-6. Epub 2010 Feb 4 doi: 10.1007/s00270-010-9814-1. PMID: 20130873
A case of hydrocolpos.
Dawson WG
Br Med J 1973 Apr 21;2(5859):155. doi: 10.1136/bmj.2.5859.155. PMID: 4699597Free PMC Article

Prognosis

Fetal ascites in cloacal malformations-a red flag.
Abdelmaksoud S, Lobo S, Cho A, Upasani A, Blackburn S, Curry J, Davies B, Martin R, De Win G, Cherian A
Pediatr Surg Int 2023 Nov 16;39(1):293. doi: 10.1007/s00383-023-05564-1. PMID: 37971531
New Consideration of Herlyn-Werner-Wunderlich Syndrome Diagnosed by Ultrasound.
Liu M, Zhang L, Xia Y, Huang X, Ye T, Zhang Y, Qi Z, Wang L, Lai X, Dai Q, Jiang Y
J Ultrasound Med 2021 Sep;40(9):1893-1900. Epub 2020 Nov 25 doi: 10.1002/jum.15572. PMID: 33236794
Short-term "double natural orifice catheterization": Nonoperative management of hydrocolpos in persistent cloaca patients - case series.
Višnjić S, Bastić M, Marčec M, Mesić M
J Pediatr Surg 2018 Apr;53(4):718-721. Epub 2017 Jun 27 doi: 10.1016/j.jpedsurg.2017.06.014. PMID: 28728829
Hydrocolpos in cloacal malformations.
Bischoff A, Levitt MA, Breech L, Louden E, Peña A
J Pediatr Surg 2010 Jun;45(6):1241-5. doi: 10.1016/j.jpedsurg.2010.02.097. PMID: 20620327
Lethal pulmonary hypoplasia and hydrocolpos with transverse vaginal septum in a newborn: a case report and review of the literature.
Liu WF, Borrego O, Weiss M, Sweet CR
J Perinatol 1999 Sep;19(6 Pt 1):454-9. doi: 10.1038/sj.jp.7200079. PMID: 10685279

Clinical prediction guides

Troubleshooting Tips for Diagnosing Complex Fetal Genitourinary Malformations.
Griffith AM, Woodward PJ, Kennedy AM
Radiographics 2024 Jan;44(1):e230084. doi: 10.1148/rg.230084. PMID: 38127660
Factors predicting the need for vaginal replacement at the time of primary reconstruction of a cloacal malformation.
Vilanova-Sanchez A, Halleran DR, Reck CA, McCracken K, Hewitt G, Gasior AC, Weaver L, Ahmad H, Akers A, Jaggers J, Rentea RM, Levitt MA, Wood RJ
J Pediatr Surg 2020 Jan;55(1):71-74. Epub 2019 Oct 26 doi: 10.1016/j.jpedsurg.2019.09.054. PMID: 31711744
Cutaneous granulomas with primary immunodeficiency in children: a report of 17 new patients and a review of the literature.
Leclerc-Mercier S, Moshous D, Neven B, Mahlaoui N, Martin L, Pellier I, Blanche S, Picard C, Fischer A, Perot P, Eloit M, Fraitag S, Bodemer C
J Eur Acad Dermatol Venereol 2019 Jul;33(7):1412-1420. Epub 2019 Apr 15 doi: 10.1111/jdv.15568. PMID: 30869812
Prenatal Diagnosis of Hydro(metro)colpos: A Series of 20 Cases.
Mallmann MR, Reutter H, Mack-Detlefsen B, Gottschalk I, Geipel A, Berg C, Boemers TM, Gembruch U
Fetal Diagn Ther 2019;45(1):62-68. Epub 2018 Feb 23 doi: 10.1159/000486781. PMID: 29478043
Prenatal diagnosis of isolated fetal hydrocolpos secondary to congenital imperforate hymen.
Tseng JJ, Ho JY, Chen WH, Chou MM
J Chin Med Assoc 2008 Jun;71(6):325-8. doi: 10.1016/S1726-4901(08)70132-1. PMID: 18567566

Recent systematic reviews

Multiple variants of obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome - one clinical center case series and the systematic review of 734 cases.
Kudela G, Wiernik A, Drosdzol-Cop A, Machnikowska-Sokołowska M, Gawlik A, Hyla-Klekot L, Gruszczyńska K, Koszutski T
J Pediatr Urol 2021 Oct;17(5):653.e1-653.e9. Epub 2021 Jun 30 doi: 10.1016/j.jpurol.2021.06.023. PMID: 34274235
The presentation and management of complex female genital malformations.
Acién P, Acién M
Hum Reprod Update 2016 Jan-Feb;22(1):48-69. Epub 2015 Nov 3 doi: 10.1093/humupd/dmv048. PMID: 26537987

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