RT Journal Article
SR Electronic
T1 Bilateral recurrent pyosalpinx in a sexually inactive 12-year-old girl secondary to rare variant of Mullerian duct anomaly
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr-2016-218924
DO 10.1136/bcr-2016-218924
VO 2017
A1 Tareq Maraqa
A1 Mohamed Mohamed
A1 Daniel Coffey
A1 Gul R Sachwani-Daswani
A1 Crystal Alvarez
A1 Leo Mercer
YR 2017
UL http://casereports.bmj.com/content/2017/bcr-2016-218924.abstract
AB Pyosalpinx is a severe sequel of chronic pelvic inflammatory disease, whereby the fallopian tubes become filled with pus.1 2 Pyosalpinx often affects sexually active women and rarely is seen in celibate adolescent girls.3 We report a case of a 12-year-old girl with no prior sexual history who presented to our emergency department with complaints of severe right lower quadrant pain of 1-day duration. Ultrasonography and CT scan of the abdomen and pelvis revealed free fluid collections in the pelvis without visualisation of the appendix. A preoperative diagnosis of acute ruptured appendicitis was given and she was taken to the operating room. Peroperative findings included bilaterally distended, pus-filled pyosalpinges. A definitive diagnosis of bilateral pyosalpinx was then made. Two-week antibiotic therapy was successful but the patient returned with recurrent pyosalpinx and a pelvic abscess 9 weeks later.