Isolated pyosalpinx in a 13-year-old virgin.

OBJECTIVE

To describe the successful laparoscopic management of an isolated pyosalpinx in a 13-year-old virgin.

DESIGN

Case report.

SETTING

University of Schleswig-Holstein, Campus Luebeck, Department of Gynecology and Obstetrics and Department of Pediatric Surgery.

PATIENT(S): A 13-year-old virgin with a pyosalpinx.

INTERVENTION(S): Salpingotomy and antibiotic treatment.

MAIN OUTCOME MEASURE(S): Successful laparoscopic management of an isolated pyosalpinx in a virgin.

RESULT(S): A 13-year-old virgin presented with abdominal pain, fever, and a cystic mass in the right lower abdomen. A laparoscopy was performed. The appendix, the uterus, and the left tube appeared normal with no signs of infection. The right tube was swollen, and after incision, purulent liquid poured out of the tube. The swab revealed the presence of Escherichia coli only, without evidence of other bacteria such as Chlamydia. With antibiotic treatment, the infection was adequately treated, and the patient was discharged in a healthy condition.

CONCLUSION(S): In a young virgin, a pyosalpinx has to be considered as a differential diagnosis. If there is no evidence of other infections, laparoscopy may help to confirm the diagnosis of pyosalpinx and simultaneously offer minimally invasive therapy.