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May 1962

Hydrometrocolpos: Report of a Case in a Newborn Infant

Author Affiliations

Lt. Robert T. Dooley, MC, USN, Pediatric Department, U.S. Naval Hospital, Jacksonville, Fla.

Am J Dis Child. 1962;103(5):692-696. doi:10.1001/archpedi.1962.02080020707010

Hydrometrocolpos has been infrequently reported in the world literature. Its true incidence is certainly much greater than the 22 cases cited in this report. Recognition and appropriate management depend upon some knowledge of the entity and its associated manifestations.

Hydrometrocolpos is a clinical entity consisting of a lower abdominal mass, retention of urine and feces, and a cystic mass distending the vulva. Apparently 2 coinciding abnormalities must be present. The first is a developmental abnormality causing obstruction of the vaginal tract and the second an apparent extreme hypersecretion of the endometrial and endocervical glands, the etiology of which is not clearly understood.

It has been shown that the obstructing membrane commonly seen probably does not represent an imperforate hymen in all cases but rather an atresia of the vagina caused by failure of fusion of the cephalad and caudad vaginal segments in the developing embryo.1 The significance of this

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