Tubo-Ovarian Abscess after Colonic Vaginoplasty for High Cloacal Anomaly in a 13-Year-Old Girl

Abstract

Recently a few articles have been published concerning the long-term follow-up of vaginoplasty of cloaca. However, no postoperative evaluation has been fully described and, in particular, the late complications are still unknown. We report a case of tuboovarian abscess after colonic vaginoplasty for high cloacal anomaly in a 13-year-old girl. She required a left salpingo-oophorectomy and postoperatively showed regular menstruation. Therefore we stress that tubo-ovarian abscess is one of the important late complications after colonic vaginoplasty for high cloacal anomaly.

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

“…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.…”

“…The typical appearance of TOA is a multilocular, cystic, and complex adnexal mass often with debris and thick septations. Computed tomography may also be used, particularly when pathology of the gastrointestinal tract should be excluded (11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29).…”

Cloaca, Posterior Cloaca and Absent Penis Spectrum

“…Although, with small numbers, several important papers have been published concerning the long-term psychosexual outcome of patients born with cloacas and urogenital sinus [ 105 -110 ]. Other unexpected problems may appear later in life in these patients, including tubal pregnancy [ 111 ] and tubo-ovarian abscess [ 112 ]. We have no experience with tubal pregnancy, but we have seen several cases of adolescents born with cloacas, repaired by us, who suffered from recurrent tubo-ovarian abscess that eventually resulted in a resection of the tube.…”

Adölosan Hastada Genital Tüberküloz İlişkili Fitz-Hugh-Curtis Sendromuna Laparoskopik Yaklaşım

“…Previous abdominopelvic surgeries, recurrent urinary tract infections, bowel disorders such as Chron's disease are usually suspected for tubo-ovar- ian abscess formation in adolescent girls with no history of any sexual intercourse. [3][4][5][6][7][8] The most commonly speculated cause of infection in this population is the ascent of microorganisms such as Escherichia coli from the lower genital tract. [8][9][10][11][12][13][14][15] However, GT can rarely be accounted for causing FHCS in the adolescent population.…”