Rare hydrosalpinx in a sexually inactive adolescent successfully treated with laparoscopy

Abstract

The majority of cases of symptomatic hydrosalpinx needing treatment are caused by sexually transmitted diseases. However, here, we present a rare case of a hydrosalpinx occurring in a sexually-inactive adolescent girl successfully treated with laparoscopy. A 17-year-old girl presenting with lower abdominai symptoms had a surgical history for an inguinal hernia at infancy. Transabdominal ultrasonography revealed a multicystic lesion in the pelvis, and magnetic resonance imaging suggested hydrosalpinx. Due to the abdominal pain and a suspicion of torsion, laparoscopic surgery was performed. After aspiration and resection of a cystic tumor, we confirmed that the left ovary was normal and that the tumor involved the left fallopian tube, which was twisted at the isthmus. Although relatively rare in postmenarchal sexually inactive adolescents, clinicians and surgeons must still consider hydrosalpinx as a possible diagnosis when encountering an adolescent patient with lower abdominal pain.

Laparoscopy for evaluation of infertility patients in a tertiary center in north-eastern Nigeria

“…19 Tubal blockage and hydro salpinges are relatively common findings in sub-Saharan Africa and globally due to high prevalence of pelvic infections. 27 The study further buttresses the role of myoma as a possible reason for sub-fertility with 18 (13.1%) of all the clients that had fibroids during evaluation having abnormal tubes. [28][29][30] Some of the weaknesses of the study include its retrospective nature and was done at a tertiary hospital hence may affect the generalization of findings.…”

Giant Isolated Left Hydrosalpinx Simulating Ovarian Cyst in a Sexually Inactive Adolescent Successfully Treated with Laparoscopy

“…Hydrosalpinx is defined as a distally blocked and dilated fallopian tube filled with serous or clear fluid. It has been reported in postmenarchal adolescent who are sexually inactive and had previous pelvic or inguinal retroperitoneal surgery causing fimbrial adhesions and blockade leading to hydrosalpinx [4]. It is generally seen after pelvic inflammatory disease (PID), commonly as a result of an ascending infection of Chlamydia trachomatis or Neisseria gonorrhoeae [5].…”

Hydrosalpinx in adolescent girls: What did two cases teach?

“…Hidrosalpinks, fallop tüpünün distal kısmının kapanması nedeniyle tüpün içinin sıvı dolması durumudur (1,8) . Fallop tüplerinin tıkanması cinsel aktif kadınlarda, PİH sonrası sık görülen bir sekeldir (3) .…”

“…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) .…”