Background: Hydrometrocolpos is a rare condition. Hydrometrocolpos is a cystic dilatation of the uterovaginal with fluid accumulation due to a combination of stimulation of secretory glands of the reproductive tract and vaginal obstruction such as imperforate hymen, transverse vaginal septum or vaginal atresia. Purpose: In this paper, the researchers would report the rare case of hydrometrocolpos in the newborns with the imperforate hymen. Method: The researchers report a case a 24-year-old primigravida at term was referred to the hospital with the suspected fetal congenital anomalies. It shows prenatal fetal ultrasonography with intra-abdominal cystic mass. Then, a female neonate was delivered vaginally with a good Apgar score. Result: Physical examination of the neonate revealed a cystic mass intralabial caused by the bulging membrane in the vaginal introitus. Ultrasonography and magnetic resonance imaging postnatal further defined a cystic mass in the pelvic extending caudally into the vagina and mild left hydronephrosis which is the result of mass compression. Therefore, the diagnosis of hydrometrocolpos with the imperforate hymen was established. Conclusion: The treatment by hymenotomy and marsupialization to the evacuated hydrometrocolpos was performed. The infants are recovered fully after the treatment and show postoperative ultrasonography resolution of hydrometrocolpos and hydronephrosis.


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