Sawhney S, Gupta R, Berry M, Bhatnagar V
Department of Radio-Diagnosis, All India Institute of Medical Sciences, New Delhi.
Australas Radiol. 1990 Feb;34(1):93-4. doi: 10.1111/j.1440-1673.1990.tb02819.x.
Hydrometrocolpos is accumulation of secretions in the vagina and uterus, caused by excessive intrauterine stimulation of the infant's cervical mucous glands by maternal oestrogen in the presence of an intact hymen (Wilson et al 1978). Hydrocolpos is dilatation of the vagina proximal to a congenital obstruction. If the uterus is also dilated, the condition is called hydrometrocolpos. Most cases of hydrocolpos are associated with an imperforate hymen that forms a thin bulging membrane between the labia. Though many cases of hydrometrocolpos have been reported in literature, there is no case report which shows classical ultrasound findings and follow up ultrasound scans to show the involuted uterus. We are presenting a case report whose diagnosis was established on ultrasound. This case highlights the value of ultrasound in diagnosing this condition and excluding other associated renal anomalies.
阴道子宫积水是指在处女膜完整的情况下，母体雌激素对婴儿宫颈黏液腺过度的宫内刺激导致分泌物在阴道和子宫内积聚（威尔逊等人，1978年）。阴道积水是指先天性梗阻近端的阴道扩张。如果子宫也扩张，则称为阴道子宫积水。大多数阴道积水病例与处女膜闭锁有关，处女膜闭锁在阴唇之间形成一层薄的膨出膜。虽然文献中已报道了许多阴道子宫积水病例，但尚无病例报告显示典型的超声表现以及随访超声扫描显示子宫复旧情况。我们现报告一例经超声确诊的病例。本病例突出了超声在诊断这种疾病以及排除其他相关肾脏异常方面的价值。
