Recurrent formation of haematocolpos in a young girl with multiple congenital anomalies of the urogenital tract

Author(s):  
Mehreen Yousaf Rana ◽  
Syeda Hira Naqvi ◽  
Rubina Hussain

Abstract An 11-year-old girl, a known case of left crossed fused renal ectopia and sacral hypoplasia presented to the gynaecological OPD in Karachi, Pakistan, in February 2019 with complaints of abdominal pain. On examination, she was found to have a septum covering her vaginal orifice. She was subsequently diagnosed with haematocolpos secondary to imperforate hymen. Incision and drainage was done. However, despite surgical management, she continued to have recurrent formation of haematocolpos for the next two months secondary to multiple complete and partial transverse vaginal septa and post-operative formation of adhesions. Definitive management was done with ultrasound guided needle puncture and drainage, followed by post-operative tampon use to maintain patency. Keywords: Haematocolpos, urogenital abnormalities, Continuous...

2021 ◽  
Vol 8 (2) ◽  
pp. 01-03
Author(s):  
Sule Muhammad Baba

Urethrovaginal fistula is an abnormal communication between the urethra and vagina. Urethrovaginal fistula results in urinary incontinence with urine continually leaking from the vagina. In children congenital anomaly may also be the cause. Congenital Urethrovaginal fistula is an extremely rare genitourinary anomaly. The reported five cases in the literature are all associated with urogenital abnormalities like vaginal septum, vaginal agenesis and imperforate hymen. We present a case of a 7-year-old female that was referred from a peripheral hospital for micturating cystourethrography (MCUG) on account of urinary incontinence and passage of urine from vaginal orifice. Following MCUG the urethra, proximal fistula between the urethra and vagina, distended urinary bladder, contrast opacified uterus and a fallopian tube were all demonstrated. We report this case because of its rarity in the literature.


2007 ◽  
Vol 29 (5) ◽  
pp. 393-395 ◽  
Author(s):  
Stéphane Larré ◽  
Xavier Carpentier ◽  
Philippe Sèbe ◽  
Marc Tassart ◽  
Olivier Cussenot ◽  
...  

1986 ◽  
Vol 8 (1) ◽  
pp. 13-16 ◽  
Author(s):  
Joan D. Goodman ◽  
Karen I. Norton ◽  
Linda Carr ◽  
Hsu-Chong Yeh

2018 ◽  
Vol 24 (1) ◽  
pp. 69-75 ◽  
Author(s):  
Paula García Bermejo ◽  
Blanca De La Cruz Torres ◽  
José Naranjo Orellana ◽  
Manuel Albornoz Cabello

2009 ◽  
Vol 15 (1) ◽  
pp. 5-10
Author(s):  
Daria GROZA ◽  
Emoke PALL ◽  
Mihai CENARIU ◽  
Raul POP ◽  
Nicolae Nicolae ◽  
...  

Objective: The purpose of this study was to assess the feasibility of in utero stem cell transplantation of human umbilical cord blood stem cells in fetal sheep and to compare two different techniques of in utero transplantation, namely ultrasound-guided in utero transplantation and in utero transplantation after midline celiotomy. Study design: Umbilical cord blood units were collected from term deliveries, after obtaining written informed consent. Human cord blood–derived, CD34+ stem cells were injected into the peritoneal cavity of 60- to 65-day-old ovine fetuses by using 2 different techniques: ultrasound-guided transabdominal percutaneous needle puncture and midline celiotomy with the exposure of the pregnant uterus. Engraftment was determined after birth by flow cytometry with use of human-specific anti-CD 34/45 antibodies. Results: We obtained a total of 3 chimeric lambs. Using the midline celiotomy technique the fetal loss rate was 75% and only 33,3% when using ultrasound-guided transabdominal percutaneous needle puncture technique. Engraftment of donor cells was found in all fetuses, with a mean level of 1.4% in fetal peripheral blood and 3.3% in fetal bone marrow. Conclusion: This preliminary study indicates that in utero stem cell transplantation of human hematopoietic cord blood stem cells in fetal lambs is feasible and effective in terms of hematopoietic engraftment. We also concluded that the ultrasound-guided transabdominal percutaneous needle puncture technique is more effective than performing a midline celiotomy in terms of fetal loss rate.


2017 ◽  
Vol 5 (1) ◽  
pp. 261
Author(s):  
Amandeep Saharan ◽  
Satish Dalal ◽  
Mahavir Singh ◽  
Chisel Bhatia ◽  
Tulit Chhabra

Background: Incidence of breast abscess is 0.4 to 11% of all lactating mothers. Traditionally the treatment of breast abscess has been incision and drainage. Recently aspiration under ultrasound guidance is emerging as another treatment option and rapidly replace incision and drainageMethods: Authors carried out a prospective, randomized study involving 50 lactating women with breast abscess. In group A - 25 patients were managed by ultrasound guided needle aspiration and in group B - 25 patients were managed by incision and drainage.Results: In patients of group A, most breast abscesses resolved with one or two aspirations only, with early healing and lesser number of hospital visits as compared to patients in group B. There was no surgical scar and early resumption of breastfeeding was seen in group A.Conclusions: Ultrasound guided percutaneous aspiration is an effective modality of treatment of lactational breast abscess and it should be the first line of treatment, especially for smaller and unilocular breast abscesses while incision and drainage should be reserved for larger and multilocular abscesses with imminent skin changes.


1983 ◽  
Vol 50 (5) ◽  
pp. 1130-1133
Author(s):  
E. Reginato ◽  
G. Giusti ◽  
S. Simonatti ◽  
E. Carletti

2020 ◽  
Vol 6 (1) ◽  
pp. 140-142
Author(s):  
Elda Chiara Colacchio ◽  
Marc Coggia ◽  
Matteo Salcuni ◽  
Donato Giorgio ◽  
Gianni De Robertis ◽  
...  

2019 ◽  
Vol 44 (2) ◽  
pp. 157-158
Author(s):  
Chi-lai Ho ◽  
Sirong Chen ◽  
Yim Lung Leung ◽  
Kam Chau Cheng ◽  
Yuet Hung Wong

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