Aziz Muhammad Alamsyah, Zahra Fatima, Razianti Zb Cut, Kharismawati Nuniek, Sutjighassani Tjut, Almira Nadia Larastri, Tjandraprawira Kevin Dominique
Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Padjadjaran - Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.
Ann Med Surg (Lond). 2022 Nov 17;84:104949. doi: 10.1016/j.amsu.2022.104949. eCollection 2022 Dec.
and importance: Foetal hydrocolpos and anorectal malformation are difficult to diagnose prenatally due to abundance of differential diagnoses. This case report presents the challenges of diagnosing such disorders.
A G3P2A0 woman came at 32 weeks of pregnancy with a referral for foetal ovarian cyst. Ultrasound revealed a singleton breech pregnancy, estimated foetal weight 3528 g. A septate abdominal cyst measuring 11.31 × 7.17 cm and polyhydramnios were present. Elective caesarean section delivered a female baby weighing 2820 g and measuring 43 cm. Neonatal examination revealed a right lateral suprapubic mass and a rectovestibular fistula. A sinoscopy revealed a suspected hydrocolpos. An abdominal hydrocolpos drainage was performed; a patent urachus and normal bilateral adnexa were present.
Hydrocolpos is a rare congenital disorder due to distal obstruction of various etiologies. It may be mistaken with other pathologies, including fetal ovarian cysts. A genitourinary congenital abnormality may occur in conjunction with other abnormalities, including gastrointestinal tract anomalies. The presence of imperforate anus and/or fistula should alert the clinician of a possible association with VACTERL syndrome.
Hydrocolpos is a rare congenital genitourinary disorder with various differential diagnoses. Simultaneous presence of other abnormalities is likely, with possible association to other syndromes.
及重要性：由于鉴别诊断众多，胎儿阴道积水和肛门直肠畸形在产前难以诊断。本病例报告展示了诊断此类疾病的挑战。
一名孕3产2流产0次的女性在妊娠32周时因胎儿卵巢囊肿转诊而来。超声检查显示为单胎臀位妊娠，估计胎儿体重3528克。存在一个大小为11.31×7.17厘米的纵隔性腹部囊肿及羊水过多。择期剖宫产娩出一名体重2820克、身长43厘米的女婴。新生儿检查发现右侧耻骨上肿块及直肠前庭瘘。鼻窦镜检查显示疑似阴道积水。进行了腹部阴道积水引流；发现脐尿管未闭及双侧附件正常。
阴道积水是一种罕见的先天性疾病，由多种病因导致远端梗阻。它可能被误诊为其他病症，包括胎儿卵巢囊肿。泌尿生殖系统先天性异常可能与其他异常同时出现，包括胃肠道畸形。肛门闭锁和/或瘘管的存在应提醒临床医生可能与VACTERL综合征有关联。
阴道积水是一种罕见的先天性泌尿生殖系统疾病，有多种鉴别诊断。可能同时存在其他异常，并可能与其他综合征有关联。
