Isolated pyosalpinx in a 13-year-old virgin

Hornemann, Amadeus; Koschitzky, Hanno von; Bohlmann, Michael K.; Hornung, Daniela; Diedrich, K.; Taffazoli, Kianusch

doi:10.1016/j.fertnstert.2008.12.143

Cited by 13 publications

(9 citation statements)

References 9 publications

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“…PID and TOA are rare in virgin female patients; however, they should be considered in all female cases with abdominal pain, regardless of sexual history. A summary of the literature review with respect to TOA among 24 virgin female patients is presented in Table 1 (7,(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29). In this review, 12 out of 24 cases were pyosalpinx, similar to the current case.…”

Section: Discussionsupporting

confidence: 70%

Pyosalpinx in a Virgin Female Patient Misdiagnosed with Adnexal Torsion: A Case Report and Narrative Review

Kazemi¹,

Arab²,

Hosseini³

et al. 2019

Iran Red Crescent Med J

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Introduction: Pelvic inflammatory disease (PID) is an infection of the upper genital tract often caused by ascending sexually transmitted infection. However, this condition is very rare in preadolescent and adolescent virgin females who are not sexually active. Pyosalpinx is a complication of PID and a cause of acute abdominal pain misdiagnosed due to similar abdominal emergencies. Case Presentation: A 14-year-old virgin female patient was admitted to the Emergency Department of a secondary care general Hospital in Birjand City, South Khorasan Province, Iran, in 2017. She presented with abdominal pain, nausea, vomiting, and fever started two days earlier. She had no history of vaginal discharge. Ultrasound findings indicated enlargement of the right ovary and a hypo-echogenic mass surrounded by a fluid; adnexal torsion suspected. Another cystic lesion with a thick wall and 14 mm diameter was detected in the left ovary. The patient underwent appendectomy four years earlier. Laparatomy performed due to acute abdomen and pyosalpinx was real diagnosis. The PubMed, Scopus, Clinical Key, and Up To Date were searched for articles published in the English language up to 2017, using various combinations of the following keywords (MeSH terms were not used): pyosalpinx, virgin, intact, entire, virtuous, Vestal, pure, and maiden. Conclusions: Although rare, it is important to keep the pelvic infection in mind in the differential diagnosis of virgin female patients presenting with clinical symptoms of an acute abdomen, especially in the ones with the history of gastrointestinal and urinary tract infection or surgery.

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Section: Discussionsupporting

confidence: 70%

Pyosalpinx in a Virgin Female Patient Misdiagnosed with Adnexal Torsion: A Case Report and Narrative Review

Kazemi¹,

Arab²,

Hosseini³

et al. 2019

Iran Red Crescent Med J

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“…The median age of the patients was 21 years (range, [14][15][16][17][18][19][20][21][22][23][24], and the presenting symptom was abdominal pain in all patients ( Table 1). The medico-surgical history was unremarkable in all patients, but one (patient 1) underwent appendectomy due to ruptured suppurative appendicitis eight years before presenting with PID.…”

Section: Resultsmentioning

confidence: 99%

Pelvic Inflammatory Disease in Virgin Women With Tubo-ovarian Abscess: A Single-Center Experience and Literature Review

Cho

Koo

Min

et al. 2017

Journal of Pediatric and Adolescent Gynecology

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“…There is scant literature on the topic of laparoscopic gynecology surgery in virgins. Most of the reports are for diagnostic purposes [28] or case studies on adnexal surgery [29][30][31][32][33][34][35] . There is one case report on performing a posterior colpotomy laparoscopically to remove a prolapsed myoma in a virgin's vagina [35] to preserve her virginity.…”

Section: Discussionmentioning

confidence: 99%

Single-port laparoscopic myomectomy in the virgin womb - a retrospective analysis of 31 consecutive cases

Tang¹

2020

MIS

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How to cite this article: Tang FH. Single-port laparoscopic myomectomy in the virgin womb -a retrospective analysis of 31 consecutive cases. Mini-invasive Surg 2020;4:24. http://dx. AbstractAim: We aimed to evaluate the feasibility of single-port laparoscopic myomectomy in the virgin womb. Methods:A retrospective chart review of 31 consecutive cases between November 2017 and October 2019 performed by a single surgeon was performed. Results:The mean age of patient was 50.10 ± 7.79 years old. The mean BMI was 23.55 ± 4.36 kg/m 2 . The mean number of myoma in single patient was 3.84 ± 2.45 pieces. The mean maximum diameter of myoma in single patient was 11.24 ± 3.27 cm. The mean operation time was 182.32 ± 52.39 min. The mean blood loss was 231.77 ± 238.90 mL. The Visual Analogue Score (VAS) of pain when immediately arriving at the ward after operation was 2.32 ± 1.60. The VAS after 24 h dropped to 1.23 ± 1.43. In total, 119 myomas were removed in our study. There were 15 (48.4%) women with more than four myomas. Fifteen (48.4%) women had more than two myomas that were > 5 cm. There were 58 (48.74%) intramural myomas, with mean diameter of 6.72 ± 4.41 cm. Fifty-two (43.70%) subserous type myoma were removed with mean diameter 2.58 ± 3.35 cm. Posterior myoma accounted for five (4.20%) pieces with mean diameter of 9.30 ± 4.49 cm. The broad ligament type myoma accounted for four pieces (3.36%), and the mean diameter was 3.74 ± 1.87 cm. There were 51 (42.9%) myomas > 5 cm in diameter. Among the different types of myoma, there were 36 (62.1%) intramural type and 6 (11.5%) subserous type, and all posterior and broad ligament type were > 5 cm in diameter. The blood loss and operation time showed no relationship to myoma number. There were differences in blood loss (P = 0.0359) and operation time (P = 0.0537) based on the maximum diameter of myoma. No learning curve was noted in the cumulative sum control chart analysis of the 31 consecutive cases. Conclusion:In our 31 consecutive cases, the operation time, blood loss, and postoperative VAS score were all comparable to the previously published literature for single-port laparoscopic myomectomy. It is feasible for virgin women with symptomatic myoma to receive single-port laparoscopic myomectomy.

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Isolated pyosalpinx in a 13-year-old virgin

Cited by 13 publications

References 9 publications

Pyosalpinx in a Virgin Female Patient Misdiagnosed with Adnexal Torsion: A Case Report and Narrative Review

Pyosalpinx in a Virgin Female Patient Misdiagnosed with Adnexal Torsion: A Case Report and Narrative Review

Pelvic Inflammatory Disease in Virgin Women With Tubo-ovarian Abscess: A Single-Center Experience and Literature Review

Single-port laparoscopic myomectomy in the virgin womb - a retrospective analysis of 31 consecutive cases

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