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Congenital adrenal hyperplasia, Virilized urogenital sinus

Fay DF - MedPix (2010)

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Congenital adrenal hyperplasia, Virilized urogenital sinus

History: 2 month old baby girl with abnormal genitalia.

Findings: • Normal bowel gas pattern (non-obstructed) on scout radiograph • Fluoroscopic Vagino-urethrogram demonstrated contrast opacifying the vagina and then the bladder. A urethral connection with the vaginal orifice close to the skin surface was identified. There was no abnormal connection with the rectum. Otherwise, the bladder and vagina are grossly normal in morphology.

Ddx: • Virilized urogenital sinus • Cloacal malformation

Dxhow: All tests (imaging, lab, physical) see Discussion

Exam: • Perforate anus • Single urogenital opening (urethro-vaginal orifice) • Elevated 17 hydroxyprogesterone

No MeSH data available.


Contrast infusion in a fluoroscopic vagino-urethrogram via the single urogenital orifice.   The bladder is now fully distended, showing evidence of a cervix at the apex of the vagina.
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MPX1422_synpic54562: Contrast infusion in a fluoroscopic vagino-urethrogram via the single urogenital orifice. The bladder is now fully distended, showing evidence of a cervix at the apex of the vagina.


Congenital adrenal hyperplasia, Virilized urogenital sinus

Fay DF - MedPix (2010)

Contrast infusion in a fluoroscopic vagino-urethrogram via the single urogenital orifice.   The bladder is now fully distended, showing evidence of a cervix at the apex of the vagina.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1422&req=5

MPX1422_synpic54562: Contrast infusion in a fluoroscopic vagino-urethrogram via the single urogenital orifice. The bladder is now fully distended, showing evidence of a cervix at the apex of the vagina.

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Congenital adrenal hyperplasia, Virilized urogenital sinus

History: 2 month old baby girl with abnormal genitalia.

Findings: • Normal bowel gas pattern (non-obstructed) on scout radiograph • Fluoroscopic Vagino-urethrogram demonstrated contrast opacifying the vagina and then the bladder. A urethral connection with the vaginal orifice close to the skin surface was identified. There was no abnormal connection with the rectum. Otherwise, the bladder and vagina are grossly normal in morphology.

Ddx: • Virilized urogenital sinus • Cloacal malformation

Dxhow: All tests (imaging, lab, physical) see Discussion

Exam: • Perforate anus • Single urogenital opening (urethro-vaginal orifice) • Elevated 17 hydroxyprogesterone

No MeSH data available.