Diagnostic and therapeutic problems in a case of prenatally detected fetalhydrocolpos

We report on a female fetus with prenatally suspected hydrometrocolpos. Pos tnatal evaluation additionally revealed ambiguous genitalia, anorectal atre sia, vertebral segmentation anomalies and congenital intestinal aganglionos is. Colostomy, was performed, but postoperative recovery, was complicated b y pulmonary hypertension and renal failure, resulting in death at day 18. P ostmortem examination furthermore revealed a small ventricular septal defec t, as well as rectovaginal and urethrovaginal fistulae, causing massive dil atation of the septated vagina (hydrocolpos). The possibility of an overlap ping VACTERL and MURCS association is discussed.