Zhang Meixiang, Luo Yingchun, Wang Sheng, Wang Siyao, Kuang Haiyan
Department of Ultrasound, The Maternal and Child Health Care Hospital of Hunan Province.
Department of Ultrasound, The Children Hospital of Hunan Province, Changsha, China.
Medicine (Baltimore). 2020 Nov 6;99(45):e23072. doi: 10.1097/MD.0000000000023072.
Hydronephrosis, mostly caused by ureteropelvic junction obstruction, rarely occurs in infants. However, imperforate hymen atresia in female infants may cause hydronephrosis, even though it is rare.
A 3-month-old female infant was admitted to our hospital for frequent crying. There was no significant past medical history.
Following ultrasound imaging, the patient was diagnosed with hydronephrosis possibly caused by imperforate hymen.
The infant underwent hymenotomy with a cruciate incision to prevent future complications such as acute renal injury.
Hydronephrosis resolved after the operation. The outcome was very good, with no complications in the postoperative period.
Early ultrasound diagnosis plays a significant role in the management and treatment of infant patients. Ultrasound is the mandatory imaging technology for determining the cause of hydronephrosis.
肾积水大多由肾盂输尿管连接处梗阻引起，在婴儿中很少见。然而，女婴处女膜闭锁虽罕见，但可能导致肾积水。
一名3个月大的女婴因频繁哭闹入院。既往无重大病史。
经超声检查，该患者被诊断为可能由处女膜闭锁引起的肾积水。
婴儿接受了十字形切口处女膜切开术，以预防未来诸如急性肾损伤等并发症。
术后肾积水消失。结果非常好，术后无并发症。
早期超声诊断在婴儿患者的管理和治疗中起着重要作用。超声是确定肾积水病因的必备成像技术。
