Hurni Yannick, Bonollo Marta, Ferrero Ludovica, Taraschi Gianmarco, Canonica Claudia, Venturelli Reyes Lozano Sophie
Department of Obstetric and Gynecology, Ospedale Regionale Bellinzona e Valli, 6500, Bellinzona, Switzerland.
BMC Womens Health. 2018 Jun 11;18(1):90. doi: 10.1186/s12905-018-0583-3.
Pelvic inflammatory disease is an infection of the upper genital tract, including the uterus, ovaries, uterine tubes, and pelvic peritoneum. Tubo-ovarian abscess and pyosalpinx are common complications associated with pelvic inflammatory disease. They are usually encountered in sexually active women, but rare cases in Virgos have also been described.
Here, we report the case of a 50-year-old Virgo woman presenting with pyosalpinx secondary to previous laparotomic sigmoidectomy for acute diverticulitis. Inflammation caused by the woman's diverticulitis and laparotomic surgery could have been the origin of her left uterine tube occlusion and consequent hydrosalpinx development. The contact between the rectum and left uterine tube observed in our patient suggests that superinfection of the hydrosalpinx could have occurred secondary to bacterial translocation. The patient's condition was managed with laparoscopic left salpingectomy and antibiotic therapy, which resulted in complete resolution.
Regardless of sexual history, pelvic inflammatory disease should be considered in all women with abdominal pain. Diagnosing pelvic inflammatory disease in Virgos could be very challenging, but its recognition and appropriate treatment are indispensable because of the potential long-term complications.
盆腔炎是上生殖道的感染，包括子宫、卵巢、输卵管和盆腔腹膜。输卵管卵巢脓肿和输卵管积脓是与盆腔炎相关的常见并发症。它们通常见于性活跃女性，但也有处女座女性的罕见病例报道。
在此，我们报告一例50岁处女座女性病例，该患者因既往因急性憩室炎行剖腹乙状结肠切除术继发输卵管积脓。该女性憩室炎和剖腹手术引起的炎症可能是其左侧输卵管阻塞及随后输卵管积水形成的原因。在我们的患者中观察到直肠与左侧输卵管接触，提示输卵管积水的重复感染可能继发于细菌移位。患者的病情通过腹腔镜左侧输卵管切除术和抗生素治疗得到控制，结果完全缓解。
无论性病史如何，所有腹痛女性均应考虑盆腔炎。在处女座女性中诊断盆腔炎可能极具挑战性，但其识别和适当治疗因潜在的长期并发症而必不可少。
