PMC4420340_01
Figure 1: Photograph showing abdominal distension with polydactyly in all limbs.
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Clinical examination revealed a markedly distended abdomen with prominent superficial veins and a palpable cystic mass occupying almost whole of the abdomen (Fig. 1).
Figure 2 (a, b): CT images showing severe hydrometrocolpos.
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Ultrasound and CT scan findings (Fig. 2a and 2b) were consistent with the huge HMC compressing rectum and bladder.
Figure 3: Genitogram shows no communication with vagina and urinary system.
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There was no communication between the bladder and vagina on genitogram (Fig. 3), which was done postoperatively.
Figure 4: MRI of hydrometrocolpos with vaginal atresia.
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MRI scan (Fig. 4), showed large hydrometrocolpos with atretic lower vagina and associated bilateral hydronephrosis.