• Medicine · Nov 2020

    Case Reports

    A case report of hydronephrosis caused by imperforate hymen in an infant.

    • Meixiang Zhang, Yingchun Luo, Sheng Wang, Siyao Wang, and Haiyan Kuang.
    • Department of Ultrasound, The Maternal and Child Health Care Hospital of Hunan Province.
    • Medicine (Baltimore). 2020 Nov 6; 99 (45): e23072.

    RationaleHydronephrosis, mostly caused by ureteropelvic junction obstruction, rarely occurs in infants. However, imperforate hymen atresia in female infants may cause hydronephrosis, even though it is rare.Patient ConcernsA 3-month-old female infant was admitted to our hospital for frequent crying. There was no significant past medical history.DiagnosesFollowing ultrasound imaging, the patient was diagnosed with hydronephrosis possibly caused by imperforate hymen.InterventionsThe infant underwent hymenotomy with a cruciate incision to prevent future complications such as acute renal injury.OutcomesHydronephrosis resolved after the operation. The outcome was very good, with no complications in the postoperative period.ConclusionsEarly ultrasound diagnosis plays a significant role in the management and treatment of infant patients. Ultrasound is the mandatory imaging technology for determining the cause of hydronephrosis.

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