Hydrosalpinx with adnexa torsion treated with a salpingostomy in a virgin woman

Hydrosalpinx in reproductive-age women without sexual experience is uncommon and may be asymptomatic. Hydrosalpinx-induced torsion of the adnexa is a rare situation and requires prompt and accurate management. This report describes a 21-year-old female without history of sexual intercourse presented...

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Main Authors: Pei-Chen Li, Bo-Cheng Chen, Bo-Han Yeh, Sheng-Po Kao, Dah-Ching Ding
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Gynecology and Minimally Invasive Therapy
Subjects:
Online Access:http://www.e-gmit.com/article.asp?issn=2213-3070;year=2018;volume=7;issue=3;spage=136;epage=138;aulast=Li
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author Pei-Chen Li
Bo-Cheng Chen
Bo-Han Yeh
Sheng-Po Kao
Dah-Ching Ding
author_facet Pei-Chen Li
Bo-Cheng Chen
Bo-Han Yeh
Sheng-Po Kao
Dah-Ching Ding
author_sort Pei-Chen Li
collection DOAJ
description Hydrosalpinx in reproductive-age women without sexual experience is uncommon and may be asymptomatic. Hydrosalpinx-induced torsion of the adnexa is a rare situation and requires prompt and accurate management. This report describes a 21-year-old female without history of sexual intercourse presented with right lower abdominal pain. Ultrasonography revealed right ovary about 4.2 cm × 3.6 cm in size with a well-defined, round cystic mass measuring 6.3 cm × 4.1 cm without septations. Diagnostic laparoscopic surgery showed a darkish right ovary and round-shaped cystic right hydrosalpinx that twisted at the infundibulopelvic ligament. Laparoscopic detorsion and salpingostomy were performed successfully. This case is a rare gynecologic situation with hydrosalpinx induced adnexa torsion, making it a rare presentation. Early diagnosis is important for preventing ovarian gangrene. Laparoscopy is a useful tool for diagnosing and treating tubal and ovarian torsion. It brings good prognosis if detorsion was performed within 24 h.
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spelling doaj.art-b97bb24537394001867d5d1898e9dde12022-12-21T16:58:42ZengWolters Kluwer Medknow PublicationsGynecology and Minimally Invasive Therapy2213-30702018-01-017313613810.4103/GMIT.GMIT_33_18Hydrosalpinx with adnexa torsion treated with a salpingostomy in a virgin womanPei-Chen LiBo-Cheng ChenBo-Han YehSheng-Po KaoDah-Ching DingHydrosalpinx in reproductive-age women without sexual experience is uncommon and may be asymptomatic. Hydrosalpinx-induced torsion of the adnexa is a rare situation and requires prompt and accurate management. This report describes a 21-year-old female without history of sexual intercourse presented with right lower abdominal pain. Ultrasonography revealed right ovary about 4.2 cm × 3.6 cm in size with a well-defined, round cystic mass measuring 6.3 cm × 4.1 cm without septations. Diagnostic laparoscopic surgery showed a darkish right ovary and round-shaped cystic right hydrosalpinx that twisted at the infundibulopelvic ligament. Laparoscopic detorsion and salpingostomy were performed successfully. This case is a rare gynecologic situation with hydrosalpinx induced adnexa torsion, making it a rare presentation. Early diagnosis is important for preventing ovarian gangrene. Laparoscopy is a useful tool for diagnosing and treating tubal and ovarian torsion. It brings good prognosis if detorsion was performed within 24 h.http://www.e-gmit.com/article.asp?issn=2213-3070;year=2018;volume=7;issue=3;spage=136;epage=138;aulast=LiAdnexahydrosalpinxlaparoscopytorsionultrasonography
spellingShingle Pei-Chen Li
Bo-Cheng Chen
Bo-Han Yeh
Sheng-Po Kao
Dah-Ching Ding
Hydrosalpinx with adnexa torsion treated with a salpingostomy in a virgin woman
Gynecology and Minimally Invasive Therapy
Adnexa
hydrosalpinx
laparoscopy
torsion
ultrasonography
title Hydrosalpinx with adnexa torsion treated with a salpingostomy in a virgin woman
title_full Hydrosalpinx with adnexa torsion treated with a salpingostomy in a virgin woman
title_fullStr Hydrosalpinx with adnexa torsion treated with a salpingostomy in a virgin woman
title_full_unstemmed Hydrosalpinx with adnexa torsion treated with a salpingostomy in a virgin woman
title_short Hydrosalpinx with adnexa torsion treated with a salpingostomy in a virgin woman
title_sort hydrosalpinx with adnexa torsion treated with a salpingostomy in a virgin woman
topic Adnexa
hydrosalpinx
laparoscopy
torsion
ultrasonography
url http://www.e-gmit.com/article.asp?issn=2213-3070;year=2018;volume=7;issue=3;spage=136;epage=138;aulast=Li
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AT bochengchen hydrosalpinxwithadnexatorsiontreatedwithasalpingostomyinavirginwoman
AT bohanyeh hydrosalpinxwithadnexatorsiontreatedwithasalpingostomyinavirginwoman
AT shengpokao hydrosalpinxwithadnexatorsiontreatedwithasalpingostomyinavirginwoman
AT dahchingding hydrosalpinxwithadnexatorsiontreatedwithasalpingostomyinavirginwoman