Salpingitis. A rare cause of acute abdomen in a sexually inactive girl: a case report

Abstract

Salpingitis is an acute inflammation of the fallopian tubes, most commonly caused by sexually transmitted micro-organisms in adolescent and adult women. It is rarely found in sexually inactive girls and generally the result of a blood-borne or genitourinary infection. In young girls without a history of consensual sexual contact, the possibility of sexual abuse should be considered.Salpingitis usually presents as an acute abdomen. Appendicitis presents with almost the same symptoms as salpingitis. The diagnosis of salpingitis is often delayed until the presumed appendicitis is surgically explored.We describe an 11-year-old girl with salpingitis caused by Streptococcus pneumoniae.

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

“…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.…”

Spectrum of histopathological lesions in the fallopian tubes

“…It is rarely found in sexually inactive girls and generally the result of a blood-borne or genitourinary infection. 6 Infertility and an increased chance of ectopic pregnancy are the most important long term complications of salpingitis. The rate of infertility is approximately 15% after a first episode of salpingitis and increases to 50% after a third episode.…”

Bilateral recurrent pyosalpinx in a sexually inactive 12-year-old girl secondary to rare variant of Mullerian duct anomaly

“…Specifically, salpingitis may occur as a result of ascending vaginal infection, haematogenous and lymphatic spread, or transmural migration of bacteria from the gut 6. The resulting purulent material may spill from the fallopian tubes into the uterus or nearby peritoneum, and ultimately adhesion formation develops occluding the fallopian tubes and resulting in pus-filled salpinges (pyosalpinx) 7.…”