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Diagnosing Neonatal Female Genital Anomalies Using Saline-Enhanced Sonography

¹ All authors: Department of Pediatrics, University Hospital Innsbruck, Anichstr. 35, 6020 Innsbruck, Austria.

View larger version (172K): [in a new window]   Fig. 1A. —1-day-old female neonate with right multicystic dysplastic kidney and uterus didelphys with ipsilateral vaginal obstruction. Transverse sonogram of pelvis shows right (R) and left (L) uteri behind bladder.

View larger version (173K): [in a new window]   Fig. 1B. —1-day-old female neonate with right multicystic dysplastic kidney and uterus didelphys with ipsilateral vaginal obstruction. Transverse sonogram at lower level than A shows cyst (C) representing obstructed vagina.

View larger version (189K): [in a new window]   Fig. 1C. —1-day-old female neonate with right multicystic dysplastic kidney and uterus didelphys with ipsilateral vaginal obstruction. Longitudinal sonogram obtained after instilling saline solution in vagina shows filled patent left vagina (V) and right uterus (U), as well as cervical os (arrowhead) protruding into obstructed right vagina (arrows).

View larger version (32K): [in a new window]   Fig. 1D. —1-day-old female neonate with right multicystic dysplastic kidney and uterus didelphys with ipsilateral vaginal obstruction. Diagram shows noncommunicating cysts of right multicystic dysplastic kidney (white arrowhead) located at lower position than it would normally be found. Contralateral kidney is normal in shape and size and located at normal abdominal level. Duplicate uterus is associated with ipsilateral obstructed vagina (black arrowhead).

View larger version (186K): [in a new window]   Fig. 2A. —3-day-old female neonate with Gartner's duct cyst and ipsilateral renal agenesis. Transverse sonogram of pelvis shows paramedian left-sided fluid-filled cyst (C) at level of vagina and cervix.

View larger version (127K): [in a new window]   Fig. 2B. —3-day-old female neonate with Gartner's duct cyst and ipsilateral renal agenesis. Axial sonogram after filling of vagina (V) shows cyst (C) adjacent to left wall of vagina.

View larger version (195K): [in a new window]   Fig. 2C. —3-day-old female neonate with Gartner's duct cyst and ipsilateral renal agenesis. Longitudinal sonogram shows cyst (C) in continuity with dilated and tortuous ureter (arrows) extending cephalad from it.

View larger version (22K): [in a new window]   Fig. 2D. —3-day-old female neonate with Gartner's duct cyst and ipsilateral renal agenesis. Diagram shows Gartner's duct cyst (white arrowhead) in close relation to left vaginal wall and cervix. A single rudimentary left ureter (black arrowhead) communicates with cyst. Both uterus and right kidney are normal in shape, size, and location. No left kidney is found.

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