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Hydrocolpos in an 18‐year‐old man with mixed gonadal dysgenesis

Hydrocolpos in an 18‐year‐old man with mixed gonadal dysgenesis Menashe Barzilai, MD Hydrocolpos is defined as a cystic dilatation of the vagina resulting from distal obstruction due to congenital anomalies such as vaginal atresia, a transverse vaginal septum, imperforate hymen, a urogenital sinus, and cloaca1malformations.' The vaginal fluid is usually the result of cervical secretions induced by estrogen. In cases of a urogenital sinus, there is a single orifice for the bladder and vagina, and in such cases, the fluid within the vagina may be the result of reflux of urine.' A urogenital sinus may be associated with intersex conditions, one of these syndromes being mixed gonadal dysgenesis (MGD). Presented here is a man with MGD who was found to have hydrocolpos. CASE REPORT An 18-year-oldman with MGD syndrome was referred for an abdominal ultrasound scan. The patient was born with a bifid scrotal sac. He had a hypospadias with the orifice at the base of the penis. A chromosomal workup revealed a karyotype of 45,XO/46,XY. In an explorative laparotomy performed to define the patient's sex, a streak gonad was found on the right side, as well as a tube and a hemiuterus, which were all excised. On the left side, a testicle and an epididymis were http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Ultrasound Wiley

Hydrocolpos in an 18‐year‐old man with mixed gonadal dysgenesis

Barzilai, Menashe
Journal of Clinical Ultrasound , Volume 23 (6) – Jul 1, 1995
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References (6)

Publisher
Wiley
Copyright
Copyright © 1995 Wiley Periodicals, Inc., A Wiley Company
ISSN
0091-2751
eISSN
1097-0096
DOI
10.1002/jcu.1870230611
Publisher site
See Article on Publisher Site

Abstract

Menashe Barzilai, MD Hydrocolpos is defined as a cystic dilatation of the vagina resulting from distal obstruction due to congenital anomalies such as vaginal atresia, a transverse vaginal septum, imperforate hymen, a urogenital sinus, and cloaca1malformations.' The vaginal fluid is usually the result of cervical secretions induced by estrogen. In cases of a urogenital sinus, there is a single orifice for the bladder and vagina, and in such cases, the fluid within the vagina may be the result of reflux of urine.' A urogenital sinus may be associated with intersex conditions, one of these syndromes being mixed gonadal dysgenesis (MGD). Presented here is a man with MGD who was found to have hydrocolpos. CASE REPORT An 18-year-oldman with MGD syndrome was referred for an abdominal ultrasound scan. The patient was born with a bifid scrotal sac. He had a hypospadias with the orifice at the base of the penis. A chromosomal workup revealed a karyotype of 45,XO/46,XY. In an explorative laparotomy performed to define the patient's sex, a streak gonad was found on the right side, as well as a tube and a hemiuterus, which were all excised. On the left side, a testicle and an epididymis were

Journal

Journal of Clinical Ultrasound – Wiley

Published: Jul 1, 1995

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