Isolated pyosalpinx in a pre-teen with bicornuate uterus

Acute obstructive pyelonephritis due to pyosalpinx: a case report

“…The absence of specific symptoms and conclusive signs during the physical examination may delay a proper diagnosis [ 5 ]. In the majority of cases, salpingitis results from a sexually transmitted ascending infection [ 2 ]. In sexually inactive females, biological factors may play a role in the development of infection, including decreased level of protective antibodies, relative larger zone of cervical ectopy, greater permeability of cervical mucus, and alteration of vagina flora [ 2 ].…”

“…In the majority of cases, salpingitis results from a sexually transmitted ascending infection [ 2 ]. In sexually inactive females, biological factors may play a role in the development of infection, including decreased level of protective antibodies, relative larger zone of cervical ectopy, greater permeability of cervical mucus, and alteration of vagina flora [ 2 ]. The initial imaging modality of choice for the diagnosis of pyosalpinx is transvaginal ultrasound, because it is cost-effective and allows detailed visualization of pelvic structures.…”

“…Magnetic resonance imaging images in the pelvis show a markedly dilated fallopian tube posterior to the ovary, edema surrounding the fallopian tube, and a thickened and enhanced tube wall with active inflammation. The early diagnosis of this pathology is hampered by its rarity and overlapping of symptoms with other causes of the acute abdomen, such as acute appendicitis, cystitis, gastroenteritis, pyelonephritis, and peritonitis [ 1 , 2 ]. As a therapy for pyosalpinx, it is recommended that antibiotics therapy is started as soon as possible for patients [ 4 , 8 ].…”

“…Pyosalpinx results when the infected fallopian tube is occluded at its fimbrial end, and the distal part of the tube becomes distended with the collection of pus [ 1 ]. It is a very rare gynecological pathology during adolescence and even rarer in sexually inactive females [ 1 , 2 ].…”