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

Cabral, Maria Demma; Siqueira, Lorena M.

doi:10.1016/j.jpag.2015.06.009

Cited by 9 publications

(12 citation statements)

References 18 publications

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“…Pyosalpinx is often treated surgically. Surgical treatment was utilized in 4 of the 6 cases reported by Cabral and Siqueira [3], both the cases detailed by Moralioğlu et al [4], all 5 of the cases discussed by Cho et al [5], and both cases described by Kielly and Jamieson [6]. In the cases depicted here, the pediatric interventional service was contacted to drain the fluid.…”

Section: Discussionmentioning

confidence: 99%

“…Postsurgical scarring has been described as a source of virginal hydrosalpinx and pyosalpinx. In a case series of 6 nonsexually active afflicted children described by Cabral and Siqueira [3], 5 of them had undergone pelvic surgery previously. Both cases presented by Moralioğlu et al [4] were secondary to prior pelvic surgery.…”

Section: Discussionmentioning

confidence: 99%

“…PID occurs primarily in sexually active females, but rare cases of PID in virginal women have been described [3], [4], [5], [6]. Many of these cases occur in the setting of pelvic adhesions following surgery or anatomic abnormalities.…”

Section: Introductionmentioning

confidence: 99%

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Pediatric pyosalpinx without sexually transmitted infection: A report of 3 cases

Pfeifer

Williams

Veltkamp

et al. 2019

Radiology Case Reports

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Pelvic inflammatory disease commonly occurs in adults and is most frequently caused by sexually-transmitted organisms. When left untreated, it can progress to abscess formation and subsequent infertility due to tubal scarring. This condition rarely occurs in the pediatric population and even less frequently in the absence of sexual activity. The cases presented here depict 3 cases of pyosalpinx due to noncommunicable infectious agents. Since children are typically not subjected to transvaginal ultrasound, they are particularly at risk for delays in diagnosis and appropriate treatment. Cases described here also demonstrate the value of the pediatric interventional radiology service in treating this gynecological source of infection. Both transabdominal and transrectal approached to ultrasound-guided drainage are described.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Pediatric pyosalpinx without sexually transmitted infection: A report of 3 cases

Pfeifer

Williams

Veltkamp

et al. 2019

Radiology Case Reports

View full text Add to dashboard Cite

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“…7 In postmenarche non-sexually active girls HS is usually secondary to abdomino-pelvic surgeries for peritonitis, congenital malformations, or neoplasia. 8 Asymptomatic forms are more frequent compared to the symptomatic ones, which could be characterized by nonspecific signs, more often related to acute pain due to tubal torsion. Our report focuses on two cases of adolescents with a past history of abdomino-pelvic surgery, for Hirschsprung's disease (HD) and complicated appendicitis, respectively.…”

Section: Discussionmentioning

confidence: 99%

Secondary hydrosalpinx in adolescents: a challenging decision-making process for surgical choice and future fertility preservation

et al. 2021

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Hydrosalpinx in pre-pubertal children and non-sexually active adolescents is a rare finding with several etiology and negative impact on future female fertility. The therapeutic approach in these specific populations is debated and it must consider its etiology and adult guidelines focused on fertility issues, which suggest laparoscopic salpingectomy. We described two adolescent cases (15 years asymptomatic and 13 years with abdominal pain) presenting a monolateral hydrosalpinx secondary to surgery for Hirschsprung’s disease and complicated appendicitis, respectively. Both patients underwent to uncomplicated robotic-assisted salpingectomy, with uneventful follow-up and preserved ovarian function. Robotic-assisted salpingectomy for hydrosalpinx secondary to previous surgical conditions is a safe and careful approach for adolescents in order to preserve ovarian vascularization, function and future fertility.

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“…In pediatric age the pathogenesis remain ill-defined [ 10 ]. It has been strongly suggested that in younger non-sexually active women, a hydrosalpinx occurs secondary to a developmental defect [ 11 ]. A systematic review in 2015 found 66 total cases described in literature and demonstrated comparable outcomes between surgical, medical and conservative management [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Bilateral sactosalphinx and congenital adrenal hyperplasia: case report on two rare conditions in two virgin girls

et al. 2021

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Background Sactosalpinx means a collection of fluid (serum, blood or pus) in the fallopian tube. CAH (Congenital Adrenal Hyperplasia) is a typical 46XX DSD (Disorder of Sex Development) due to a steroidogenic enzymatic defect. Both conditions are rare and can lead to reduced fertility rate. Case presentation We describe two post-menarche virgin girls with CAH who were hospitalized for acute abdomen due to laparoscopically confirmed sactosalpinx. Case 1 recovered after conservative management, case 2 after a second-look and bilateral salpingectomy. The first case consisted of right sactosalpinx and previous peritonitis reported; the second one of bilateral symptomatic pyosalpinx and previous vaginal stenosis. Recurrent abdominal pain persisted at follow-up in Case 1: post-operative MRI (Magnetic Resonance Imaging) showed bilateral hydrosapinx that disappeared at a following ultrasound scan control. Follow-up was uneventful 36 months after surgery in Case 2, except for the surgical revision of the vaginal introitus. Conclusions CAH-sactosalpinx association is a very rare but not negligible event. We suggest a conservative approach for sactosalpinx if tubal and/or ovary torsion can be excluded. Pyosalpinx is more challenging to treat, but during pediatric age we suggest starting with a conservative approach, especially in patients with CAH who have a potential low fertility rate. Careful gynecological follow-up after menarche is recommended to rule out any further causes of infertility.

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

Cited by 9 publications

References 18 publications

Pediatric pyosalpinx without sexually transmitted infection: A report of 3 cases

Pediatric pyosalpinx without sexually transmitted infection: A report of 3 cases

Secondary hydrosalpinx in adolescents: a challenging decision-making process for surgical choice and future fertility preservation

Bilateral sactosalphinx and congenital adrenal hyperplasia: case report on two rare conditions in two virgin girls

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