Fetal hydrometrocolpos and congenital imperforate hymen: Prenatal and postnatal imaging features

Congenital imperforate hymen is probably the most common obstructive anomaly of the female reproductive tract. The accumulation of fluid in the genital tract leads to a distended uterus and vagina, causing hydrometrocolpos. Prenatal diagnosis of fetal hydrometrocolpos is uncommon, with only 22 cases reported in the literature and only a few cases of prenatal imaging of this condition available to date. The main ultrasound finding is a fetal pelvic mass posterior to the bladder and anterior to the rectum. We present the case of a 37-week female fetus with a fetal pelvic mass detected in a routine obstetric ultrasound examination, and the correlation between the prenatal and postnatal findings.

Congenital vesicovaginal fistula with transverse vaginal septum and ectopic ureter opening in proximal vagina: case report and brief review

Congenital vesicovaginal fistula is an extreme rarity. We report on a case of a 22-year-old lady who presented with menouria and infertility. On evaluation, she was found to have congenital vesicovaginal fistula, a nonfunctioning right kidney with ectopic ureter and transverse vaginal septum. Abdominal repair of the fistula, right nephroureterectomy, and excision of the vaginal septum was performed.

[Uterus unicornis with rudimentary horn and ipsilateral kidney agenesis: clinical symptoms and therapy]

We report on a 21-year old patient with unicornuate uterus with a rudimentary non-communicating horn (Buttram II-A-1-b), haematosalpinx, associated with ipsilateral ureteranomaly and renal agenesis. In this case we illustrate symptoms, diagnosis and therapy. Despite extensive diagnosis surgical methods finally have to be adapted to the anatomical situation during operation. A short review of literature and embryology is given, more diagnostic preoperative measures are discussed.