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J Korean Pediatr Soc. 2002 Feb;45(2):278-283. Korean. Case Report.
Park MY , Son BR , Kim SY , Kim YY , Kim HH , Lee WB , Sung IK , Chun CS , Lim SA .
Department of Pediatrics, Medical College, The Catholic University of Korea, Seoul, Korea. hhkim@hfh.cuk.ac.kr
Department of Radiology, Medical College, The Catholic University of Korea, Seoul, Korea.
Abstract

Imperforated hymen, vaginal atresia or high transverse vaginal septum are caused by incomplete vaginal canalization. The infant may be present with distention of the vagina and the uterus with glandular secretions stimulated by maternal estrogens, known as hydrometrocolpos. We report two cases of hydrometrocolpos. In the first case, distal vaginal atresia with cystovaginal fistula was revealed by a contrast fluoroscope through the percutaneous catheterization. In the second case, urogenital sinus was detected by a fistulogram through a single orifice in the genital area. We decompressed the cystic mass by ultrasonogram guided aspiration, promptly at birth, then achieved the transient drainage of cystic fluids by percutaneous catheterization.

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