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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.


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Congenital adrenal hyperplasia, Virilized urogenital sinus

Fay DF - MedPix (2010)

© Copyright Policy - open-access
Related In: Results  -  Collection

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

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.