Abstract
Article: Sonographic Evaluation and Detection of Pediatric Hematometrocolpos
Author: Emily Rose Hilbert, RDMS
Category: OB/GYN
Credit: 1.0 SDMS CME Credit
Objectives: After studying the article entitled “Sonographic Evaluation and Detection of Pediatric Hematometrocolpos,” you will be able to:
Explain the embryologic development of the vagina
Describe the sonographic characteristics of hematometrocolpos
Differentiate hematocolpos from hematometrocolpos
The clinical presentation of hematometrocolpos in adolescent girls is typically Pelvic pain A pelvic mass Amenorrhea All of the above
Hematometrocolpos is characterized by Collection of blood in the vagina Collection of blood in the uterus Collection of blood in the vagina and uterus Collection of blood distending the cervix
Neonatal hematometrocolpos is Rare Infrequent Common The most common presentation
In prepubertal pediatric patients The uterus is smaller than the cervix The uterus and cervix are approximately the same size The uterus is larger than the cervix The relative size of the uterus and cervix is widely variable
The sonographic appearance of hematometrocolpos is typically A homogeneous hypoechoic mass A homogeneous hyperechoic mass A vascularized heterogeneous mass A heterogeneous mass with hypoechoic and cystic components
The Müllerian ducts join together to create the Endocervical canal Uterovaginal canal Fallopian tubes Transformation zone
Embryologically, the vagina is created at the approximate gestational age of 6 weeks 8 weeks 10 weeks 12 weeks
Renal anomalies occur in association with Müllerian anomalies in approximately what percentage of cases? 10% 25% 50% 75%
In addition to hematometrocolpos, the differential diagnosis for the finding of a pelvic mass may include Abscess Hydrocolpos Pyometrocolpos All of the above
The treatment for symptomatic hematometrocolpos is typically Medical management Vaginoplasty Percutaneous drainage Observation until the condition resolves spontaneously
Footnotes