Case Report: Vaginostomy until further reconstruction for the management of hydrocolpos causing hydronephrosis

Paarth Kapadia, Shreeya Popat, Angela G. Mittal

Abstract


Hydrocolpos is a rare congenital genitourinary anomaly that can cause clinically significant urinary tract obstruction with oligohydramnios and hydronephrosis antenatally and renal failure postnatally. Here, we discuss the management of a neonate with hydrocolpos and renal failure.  Vaginostomy tube and bladder catherization have been described previously.  However, in this population, external tubes can be difficult to manage and have a high propensity of failure.  Therefore, the patient was managed via creation of a vaginostomy, which allowed for continuous passive drainage of fluid into a diaper and maintained a decompressed urinary tract until further reconstruction could be pursued.


Keywords


Neonatal hydronephrosis, vaginostomy, hydrocolpos, hydrometrocolpos, cloacal abnormality.

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References


Cerrah Celayir A, Kurt G, Sahin C, et al. Spectrum of etiologies causing hydrometrocolpos. J Neonatal Surg. 2013;2(1):5.

Alici Davutoglu E, Yuksel MA, Yurtkal A, et al. Prenatal diagnosis of isolated foetal hydrocolpos secondary to congenital imperforate hymen mimicking ambiguous genitalia. J Obstet Gynaecol J Inst Obstet Gynaecol. 2017;37(2):248-49.

Capito C, Belarbi N, Paye Jaouen A, et al. Prenatal pelvic MRI: additional clues for assessment of urogenital obstructive anomalies. J Pediatr Urol. 2014;10(1):162-66.

Mallmann MR, Reutter H, Mack-Detlefsen B, et al. Prenatal Diagnosis of Hydro(metro)colpos: A Series of 20 Cases. Fetal Diagn Ther. 2019;45(1):62-68.

Tilahun B, Woldegebriel F, Wolde Z, et al. Hydrometrocolpos Presenting as a Huge Abdominal Swelling and Obstructive Uropathy in a 4 Day Old Newborn: A Diagnostic Challenge. Ethiop J Health Sci. 2016;26(1):89-91.

Chalmers DJ, Rove KO, Wiedel CA, et al. Clean intermittent catheterization as an initial management strategy provides for adequate preservation of renal function in newborns with persistent cloaca. J Pediatr Urol. 2015;11(4):211.e1-4.

Gupta I, Barson AJ. Hydrocolpos with peritonitis in the newborn. J Clin Pathol. 1980;33(7):679-83.

Mansouri R, Sander JC, Janzen NK, et al. A Case of Obstructed Hemivagina with Ectopic Ureter Leading to Severe Hydrocolpos and Contralateral Renal Outflow Tract Obstruction in a Neonate. J Pediatr Adolesc Gynecol. 2015;28(5):e131-33.

Murthy V, Costalez J, Weiner J, et al. Two neonates with congenital hydrocolpos. Case Rep Pediatr. 2013;2013:692504.

Reggiani G, Pizzol D, Trevisanuto D, et al. Successful management of giant hydrocolpos in a limited-resource setting. Oxf Med Case Rep. 2018;2018(7):omy031.

Speck KE, Arnold MA, Ivancic V, et al. Cloaca and hydrocolpos: laparoscopic-, cystoscopic- and colposcopic-assisted vaginostomy tube placement. J Pediatr Surg. 2014;49(12):1867-69.

Višnjić S, Bastić M, Marčec M, et al. Short-term “double natural orifice catheterization”: Nonoperative management of hydrocolpos in persistent cloaca patients - case series. J Pediatr Surg. 2018;53(4):718-21.

Khanna K, Sharma S, Gupta DK. Hydrometrocolpos etiology and management: past beckons the present. Pediatr Surg Int. 2018;34(3):249-61.




DOI: http://dx.doi.org/10.14534/j-pucr.2020562942

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