Hydrosalpinx in a patient with complex genitourinary malformation

Zhapa, Evisa; Rigamonti, Waifro; Castagnetti, Marco

doi:10.1016/j.jpedsurg.2010.06.016

Cited by 7 publications

(8 citation statements)

References 14 publications

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“…7 Thirty percent of cases with a developmental defect associated with hydrosalpinx have associated urinary tract malformations. 4 None of our patients were found to have similar defects. Five of six girls in our series had previous abdominopelvic surgery, raising the possibility that adhesions from past surgeries were responsible for the development of the hydrosalpinx.…”

Section: Discussionmentioning

confidence: 62%

Hydrosalpinx in Postmenarchal Nonsexually Active Girls: A Review of 6 Cases in a Children's Hospital

Cabral

Siqueira

2015

Journal of Pediatric and Adolescent Gynecology

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Section: Discussionmentioning

confidence: 62%

Hydrosalpinx in Postmenarchal Nonsexually Active Girls: A Review of 6 Cases in a Children's Hospital

Cabral

Siqueira

2015

Journal of Pediatric and Adolescent Gynecology

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“…Neoplastic adnexal masses, however, are very rare in this age range [ 2 ]. Overall, the pathogenesis of hydrosalpinx remains poorly defined in children [ 3 ]. In this case, there was no positive history for any of the above causes.…”

Section: Discussionmentioning

confidence: 99%

“…There is often associated pain, but occasionally, no pain may be noted [ 2 ]. Where the hydrosalpinx is symptomatic, it is often associated with nonspecific signs of infection [ 3 ]. Unfortunately, the nonspecific symptomology can contribute to difficulty making a diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Suggested spontaneous resolution of possible paediatric hydrosalpinx: a case report with discussion

2015

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Hydrosalpinx is a rare cause of abdominal pain in paediatric patients, though cases are documented in the literature. Its aetiology differs considerably from traditional hydrosalpinx due to ascending sexually transmitted infection. Hydrosalpinx can resent mimicking an acute abdomen or can be asymptomatic. Management of paediatric hydrosalpinx varies but often involves surgical removal of the affected tube. A 12-year-old girl presented with left-sided acute abdominal pain setting within 24 h. Initial ultrasound scan suggested presence of hydrosalpinx. Post-discharge follow-up appointment with a consultant paediatric gynaecologist demonstrated no symptomology, but repeated scan by another sonographer showed continued presence of possible hydrosalpinx, which had since grown. Later, MRI was performed to confirm site of the lesion. However, MRI revealed no tubal masses, suggesting spontaneously resolved hydrosalpinx. Consultant-administered ultrasound scan confirm no tubal abnormalities. Our case suggests spontaneous resolution in possible paediatric hydrosalpinx. Our recommendation is for conservative management of asymptomatic paediatric and adolescent hydrosalpinges, with emergency surgery offered if symptoms indicative of tubal or adnexal torsion.

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“…fallop tüplerindeki tıkanıklık saptanınca, hidrosalpinksin klinik önemi ortaya çıkar (4) . Hidrosalpinks, her zaman cinsel aktif kadınlarda ve pelvik inflamatuvar hastalık (PİH) sonrası ya da tüberküloz peritonit sonrası gelişmeyebilir (2,(5)(6)(7)(8) . Bazı durumlarda uzun fallop tüplerinin torsiyonu sonrasında ikincil olarak da oluşabilir; özellikle çocuklarda, adölesan ve ergenlerde bu anatomik bozukluk olasılığı daha ön plandadır.…”

Section: Ahmet Hikmet şAhinunclassified

“…Hidrosalpinks; overler ve uterus arasındaki bağlantıyı sağlayan, ovumu uterusa ulaştıran yol olarak tanımlanan fallop tüplerinin tıkanmasına bağlı olarak tüpün sıvı ile dolu duruma gelmesidir (1,2) . Genellikle cinsel aktif çağdaki kadınlarda enfeksiyon sonrasında fallop tüplerinin tıkanması ile oluşur ve semptom vermeyebilir (2,3) .…”

Section: Introductionunclassified

Hydrosalpinx in adolescent girls: What did two cases teach?

Şahin¹

2021

TCDD

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Hydrosalphinx is the fallopian tubes getting filled with fluid due to their blockage. It usually occurs with obstruction of fallopian tubes after infection in women of sexually active age. The aim of this article is to draw attention to hydrosalpinx in adolescent girls because of two adolescent cases. First case; a cystic lesion of 38x51x76 mm in the right adnexal region was detected in the lower abdominal magnetic resonance imaging of a 13-year-old girl who presented with the complaint of abdominal pain and vomiting. Right tubal torsion and hydrosalpinx were detected during abdominal exploration. The tube was detorsioned and marsupialization was applied to the hydrosalpinx. Second case; a cystic lesion with dimensions of 24x12x35 cm was detected in the abdominal ultrasonography of a 16-year-old girl who presented with the complaint of abdominal pain and a palpable mass. On abdominal exploration, a right hydrosalpinx filling the entire abdomen was detected. Tubal excision was performed. Both cases have not been undergone any intraabdominal surgery previously. Hydrosalpinx is very rare in adolescent girls. Hydrosalpinx also should be considered in lower abdominal pain. Cases should be examined in terms of preventing infertility problems in future carefully, development of adhesion should be curtailed and parents should be informed in detail.

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Hydrosalpinx in a patient with complex genitourinary malformation

Cited by 7 publications

References 14 publications

Hydrosalpinx in Postmenarchal Nonsexually Active Girls: A Review of 6 Cases in a Children's Hospital

Hydrosalpinx in Postmenarchal Nonsexually Active Girls: A Review of 6 Cases in a Children's Hospital

Suggested spontaneous resolution of possible paediatric hydrosalpinx: a case report with discussion

Hydrosalpinx in adolescent girls: What did two cases teach?

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