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

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F24%3A00079893" target="_blank" >RIV/65269705:_____/24:00079893 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/24:00136848

Result on the web

<a href="https://mhnpjournal.biomedcentral.com/articles/10.1186/s40748-024-00179-3" target="_blank" >https://mhnpjournal.biomedcentral.com/articles/10.1186/s40748-024-00179-3</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1186/s40748-024-00179-3" target="_blank" >10.1186/s40748-024-00179-3</a>

Result language

angličtina

Original language name

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

Original language description

BackgroundImperforate 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 presentationWe 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.ConclusionThe 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.

Czech name

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Czech description

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Type

J_ost - Miscellaneous article in a specialist periodical

CEP classification

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OECD FORD branch

30209 - Paediatrics

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2024

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Maternal Health, Neonatology and Perinatology

ISSN

2054-958X

e-ISSN

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Volume of the periodical

10

Issue of the periodical within the volume

2024

Country of publishing house

GB - UNITED KINGDOM

Number of pages

6

Pages from-to

10

UT code for WoS article

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EID of the result in the Scopus database

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