Hydrocolpos with peritonitis in the newborn.

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Abstract
Congenital dilatation of the vagina, occasionally also associated with enlargement of the uterine cavity (hydrometrocolpos), occurs in less than 1 in 30,000 births. Two cases of hydrocolpos are described presenting soon after birth. One infant who died on the 1st day had an intrauterine peritonitis caused by compression of the cecum on the pelvic brim. The other surviving infant developed a cecal perforation secondary to Hirschsprung''s disease. Neither infant had rectal atresia, which is the commonest cause of intestinal obstruction in these infants. The association of hydrocolpos with polydactyly in 1 of these cases may represent an autosomal recessive trait.

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