Images in Clinical practices
Indian Pediatrics 1998; 35:1028
Imperforate Hymen With Hydrocolpos
This full term baby girl was born of a normal vaginal delivery.
Antenatal ultra- sound had revealed a large fluid-filled cyst in
the lower abdomen of the fetus. The baby presented with a palpable
cystic lump in the lower abdomen. The labia were separated by a
bulging yellowish white membrane (Fig. 1). On pressing the
abdominal lump, the bulge in this membrane became more prominent.
No other congenital anomalies were detected. Post-natal ultra-
sound scan showed a fluid-filled cyst in the pelvis extending
behind the bladder to the perineum. Both kidneys were normal. A
diagnosis of imperforate hymen with hydrocolpos was made and the
hymen was excised, draining 200ml of milky fluid from the grossly