以脓性输卵管炎形式表现的黄色肉芽肿性输卵管炎——发生于一名无性活跃史的青春期女孩
Xanthogranulomatous Salpingitis Presenting as Pyosalpinx in a Non-Sexually Active Adolescent Girl.
作者信息
Boleken Mehmet Emin, Günendi Tansel, Yol Cansu, Kaya Veysel, Kocaman Osman Hakan, Dörterler Mustafa Erman
机构信息
Harran University Medical Faculty, Department of Pediatric Surgery, Şanlıurfa, Turkey.
Harran University Medical Faculty, Department of Pediatric Surgery, Şanlıurfa, Turkey.
出版信息
J Pediatr Adolesc Gynecol. 2023 Jun;36(3):324-327. doi: 10.1016/j.jpag.2023.01.214. Epub 2023 Feb 9.
INTRODUCTION
Although pelvic inflammatory disease is seen in sexually active women, it can also be seen in virgin girls. One of the conditions that can develop if not treated appropriately is pyosalpinx. A case of pyosalpinx causing xanthogranulomatous inflammation, a rare type of inflammation, is presented.
CASE
A 15-year-old virgin adolescent patient underwent salpingectomy for left pyosalpinx, and the pathology result revealed xanthogranulomatous salpingitis.
CONCLUSION
Pelvic inflammatory disease is extremely rare in virgin adolescents and there is usually an underlying anatomic anomaly. No anatomical anomaly was detected in our case, but the detection of E.coli in the abscess fluid culture and the chronic constipation of our patient made us think that the cause of the disease was an ascending infection originating from the gastrointestinal tract.
引言
虽然盆腔炎多见于性活跃女性，但处女女孩也可能出现。如果治疗不当，可能会发展为输卵管积脓。本文介绍了一例由输卵管积脓引起的黄色肉芽肿性炎症的病例，这是一种罕见的炎症类型。
病例
一名15岁的处女青少年患者因左侧输卵管积脓接受了输卵管切除术，病理结果显示为黄色肉芽肿性输卵管炎。
结论
盆腔炎在处女青少年中极为罕见，通常存在潜在的解剖异常。在我们的病例中未检测到解剖异常，但在脓肿液培养中检测到大肠杆菌以及患者的慢性便秘使我们认为该病的病因是源自胃肠道的上行感染。
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