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Prenatal Ultrasound Imaging Features and Prognosis of Congenital Imperforate Hymen |
KONG Yi-fan, KUANG Hai-yan, LUO Ying-chun, et al |
Department of Ultrasound, The Maternal and Child Health Care Hospital of Hunan Province, Changsha, Hunan 410008 China |
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Abstract 【Objective】To explore the prenatal ultrasound characteristics and outcomes in the diagnosis of fetal imperforate hymen. 【Methods】 All data of 5 cases with fetuses diagnosed congenital imperforate hymen from January 2018 to July 2020 in our hospital were retrospectively analyzed for the characteristics of ultrasound and clinical outcomes. 【Results】The main echocardiographic features of congenital imperforate hymen were a thick-walled cystic mass behind the female fetus's bladder, with clear boundaries and irregular hyperechoic spots freely float in it. Color Doppler blood flow imaging showed no obvious blood flow signal. From this retrospective analysis, 5 congenital imperforate hymens were identified in the diagnosis of fetuses. Of which 3 cases combined with other abnormalities (1 case had left kidney polycystic renal dysplasia, 1 case had unilateral kidney absent, double inferior vena cava and single umbilical artery, 1 case had right kidney absent) and confirmed by autopsy. And 2 live births were confirmed by ultrasound, CT or MRI (Hydronephrosis and multiple kidney stones were found in 1 case after birth). Both cases underwent hymenotomy. After the milky white thick liquid was drained, the mass disappeared and the uterus moved down to the normal position. Both live-born infants had a good prognosis. 【Conclusion】Prenatal ultrasound can find congenital imperforate hymen in time and effectively, and provide important information for clinical treatment and follow-up.
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Received: 30 December 2020
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[1] Garcia Rodriguez R, Perez Gonzalez J, Garcia Delgado R, et al . Fetal hydrometrocolpos and congenital imperforate hymen: Prenatal and postnatal imaging features[J]. J Clin Ultrasound, 2018, 46(8): 549-552. [2] Yildirim G, Gungorduk K, Aslan H, et al . Prenatal diagnosis of imperforate hymen with hydrometrocolpos[J]. Arch Gynecol Obstet, 2008, 278(5): 483-485. [3] Khanna K, Sharma S, Gupta DK.Hydrometrocolpos etiology and management: past beckons the present[J]. Pediatr Surg Int, 2018, 34(3): 249-261. [4] 汪玲萍, 杨小红. 超声诊断胎儿处女膜闭锁伴阴道积液1例[J].临床超声医学杂志, 2019, 21(10): 760,765. [5] 覃伶伶, 洪燕, 符小艳, 等. 产前超声诊断胎儿阴道积液3例[J].中华超声影像学杂志, 2011, 20(11): 999,1003. [6] Winderl LM, Silverman RK.Prenatal diagnosis of congenital imperforate hymen[J]. Obstet Gynecol, 1995, 85(5 Pt 2): 857-860. [7] 刘艳华, 董建敏, 杜彦霜. 胎儿腹腔囊性包块与出生后超声复查对比分析[J].中国临床研究, 2020, 33(4): 508-511. [8] 胡哲霞, 张雪玲, 马静, 等. 胎儿处女膜闭锁合并子宫阴道积液一例[J].中华围产医学杂志, 2020, 23(12): 828-830. [9] 许云燕, 李雪蕾, 穆仲平. 泄殖腔畸形的产前超声诊断和文献复习[J].中国超声医学杂志, 2017, 33(12): 1138-1140. [10] Mallmann MR, Reutter H, Mack-Detlefsen B, et al . Prenatal Diagnosis of Hydro(metro)colpos: A Series of 20 Cases[J]. Fetal Diagn Ther, 2019, 45(1): 62-68. |
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