性不活跃青少年反复双侧输卵管炎：别忘了阑尾。
Recurrent Bilateral Salpingitis in a Sexually Inactive Adolescent: Don't Forget about the Appendix.
机构信息
Post-Graduate School of Pediatrics, University of Florence, Florence, Italy.
Post-Graduate School of Pediatrics, University of Florence, Florence, Italy.
出版信息
J Pediatr Adolesc Gynecol. 2021 Apr;34(2):217-219. doi: 10.1016/j.jpag.2020.12.014. Epub 2020 Dec 22.
BACKGROUND
Salpingitis is an acute inflammation of the fallopian tubes and is extremely uncommon in patients who are sexually inactive or premenarchal.
CASE
We describe a 15-year-old sexually inactive patient with recurrent bilateral salpingitis. After the second episode, she underwent an exploratory laparoscopy and was diagnosed with chronic appendicitis.
SUMMARY AND CONCLUSION
Appendicular involvement should be kept in mind in recurrent salpingitis episodes, especially if previous imaging studies do not show signs of appendicitis. Imaging studies should be repeated in experienced centers in case of recurrent episodes. Laparoscopy is the gold standard for the diagnosis of salpingitis and can confirm appendicular or other abdominal involvement. Early diagnosis can help to prevent recurrent episodes of salpingitis and thus reduce the risk of sequelae.
背景
输卵管炎是一种急性输卵管炎症，在无性生活或初潮前的患者中极为罕见。
病例报告
我们描述了一位 15 岁无性生活的复发性双侧输卵管炎患者。第二次发作后，她接受了腹腔镜探查术，被诊断为慢性阑尾炎。
总结
在复发性输卵管炎发作时，应注意阑尾受累的可能性，特别是如果先前的影像学检查没有显示阑尾炎的迹象。在复发性发作的情况下，应在有经验的中心重复进行影像学检查。腹腔镜检查是诊断输卵管炎的金标准，可以确认阑尾或其他腹部受累情况。早期诊断有助于预防复发性输卵管炎，从而降低后遗症的风险。
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