Neonatal imperforate hymen with hydrocolpos
A 34+4 weeks neonate was born by spontaneous vaginal delivery with normal antenatal scans. Routine neonatal examination revealed the absence of a vaginal opening with bulging of vaginal introitus (figure 1) Urethral and anal openings were patent. A provisional diagnosis of an imperforate hymen with hydrocolpos was considered. Figure 1 Imperforate hymen noted at birth. Subsequent investigations revealed a deranged renal function at 22 hours of life (creatinine 99 umol/L, urea 10.2 mmol/L, K 6.6 mmol/L and
BMJ Case Reports