Case report: Rare hydrosalpinx in a sexually-inactive adolescent, successfully treated with laparoscopy

• Published in: Gynecology and minimally invasive therapy
• Main Authors: Takeda, Masumi, MD, Miyatake, Takashi, MD, PhD, Tanaka, Asuka, MD, Kanao, Serika, MD, Miyoshi, Ai, MD, Mimura, Mayuko, MD, Nagamatsu, Masaaki, MD, Yokoi, Takeshi, MD, PhD
• Format: Journal Article
• Language: English
• Published: 2016
• Subjects: Obstetrics and Gynecology; laparoscopy; hydrosalpinx; adolescent; case report; sexually-inactive
• ISSN: 2213-3070
• DOI: 10.1016/j.gmit.2016.08.005

Abstract The majority of cases of symptomatic hydrosalpinx needing treatment are caused by sexually transmitted diseases. However, we herein present a rare case of a hydrosalpinx occurring in a sexually-inactive adolescent girl, successfully treated with laparoscopy. Case: a 17-year-old girl, presenting with lower abdominal symptoms, had a surgical history for an inguinal hernia at infancy. Trans-abdominal ultrasonography revealed a multi-cystic lesion in the pelvis; MRI 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 we encounter an adolescent patient with lower abdominal pain.