Hydrometra
| Classification according to ICD-10 | |
|---|---|
| Q52.8 | Other specified congenital malformations of the female genital organ |
| ICD-10 online (WHO version 2019) | |
A hydrometra or hydrometrocolpos , ( ancient Greek ὕδωρ hydor 'water', μήτρα metra 'uterus' and κόλπος kolpos 'vagina') means that the uterus (and the vagina ) is filled with fluid.
If only the vagina is affected, one speaks of a hydrocolpos .
The term should not be confused with Hydrometra stagnorum , the common pond runner .
root cause
It is based on the occlusion of the vagina by hymeneal atresia or, more rarely, a vaginal membrane, a form of gynatresia . This fluid arises in the newborn periosis and consists of secretion from the hormonally stimulated vaginal mucosa on the maternal side.
There is an association with Robinow syndrome , the uterus didelphys, or duplicates of the vagina and / or uterus.
The disease occurs as part of McKusick-Kaufman syndrome .
diagnosis
This widening can be palpable or even visible as a tumor in the lower abdomen. The diagnosis is usually made by means of an ultrasound examination .
Differential diagnosis
Other cystic masses of the lower abdomen such as coccyx teratoma , lymphangioma , etc. are to be distinguished.
therapy
Treatment consists of surgical transection of the hymen or the obstructing membrane.
literature
- M. Bettex, N. Genton, M. Stockmann (Eds.): Pediatric Surgery. Diagnostics, indication, therapy, prognosis. 2nd Edition. Thieme 1982, ISBN 3-13-338102-4 , p. 8.219
- A. Sigel, R.-H. Ringert (Ed.): Pediatric urology. 2nd Edition. Springer, Berlin 2001, ISBN 3-662-08081-8 (print) / ISBN 978-3-662-08080-1 (e-book), p. 497.
Individual evidence
- ↑ Willibald Pschyrembel : Clinical Dictionary . 266th, updated edition. de Gruyter, Berlin 2014, ISBN 978-3-11-033997-0
