Eksioglu Ayse Secil, Maden Hasim Ata, Cinar Gokce, Tasci Yildiz Yasemin
Department of Pediatric Radiology, Dr. Sami Ulus Women and Children's Hospital, Babür Caddesi, No. 44, Altındag, 06080 Ankara, Turkey.
Case Rep Urol. 2012;2012:102683. doi: 10.1155/2012/102683. Epub 2012 Jun 7.
A rare case of imperforate hymen associated with bicornuate uterus in an infant is presented as a cause of bilateral hydroureteronephrosis and pelvic mass in infancy. The importance of postoperative radiologic evaluation for diagnosis of accompanying uterine abnormalities is introduced. A 8-month-old girl with restlessness and intermittent fever was brought to the daily outpatient clinic by her parents. Ultrasound exam showed bilateral grade 4 hydroureteronephrosis and a large cystic pelvic mass. Magnetic resonance scan of the pelvis revealed marked hematocolpos. A cruciate incision was made over the hymen under general anesthesia. During a 6-month followup gradual resolution of bilateral hydroureteronephrosis was documented. Although the details of the uterine anomaly were obscured in preoperative imaging, postoperative US and MR demonstrated bicornuate uterus. Postoperative pelvic radiologic examination is highly recommended to verify the resolution of hematocolpos and to screen for any concomitant anomalies that can have long-term clinical significance.
本文报告了一例罕见的婴儿处女膜闭锁合并双角子宫病例，该病例导致婴儿期双侧输尿管肾盂积水和盆腔肿块。文中介绍了术后影像学评估对诊断伴随子宫异常的重要性。一名8个月大、烦躁不安且间歇性发热的女孩被父母带到日间门诊。超声检查显示双侧4级输尿管肾盂积水和一个大的囊性盆腔肿块。盆腔磁共振扫描显示明显的阴道积血。在全身麻醉下，在处女膜上做了一个十字形切口。在6个月的随访中，记录到双侧输尿管肾盂积水逐渐消退。尽管术前影像学检查中子宫异常的细节不清晰，但术后超声和磁共振显示为双角子宫。强烈建议术后进行盆腔影像学检查，以确认阴道积血是否消退，并筛查任何可能具有长期临床意义的伴随异常。
