成功施行腹腔镜手术切除 12 岁青少年处女输卵管脓肿：病例报告并文献复习。
Successful laparoscopic resection of fallopian tube abscess caused by Escherichia coli in a 12-year-old adolescent virgin:a case report and review of the literature.
机构信息
Master's Degree, Department of Gynaecology And Obstetrics, Children's Hospital of ShanXi, Women Health Center of ShanXi, TaiYuan, China.
出版信息
BMC Pediatr. 2023 Jun 6;23(1):282. doi: 10.1186/s12887-023-04098-8.
BACKGROUND
Upstream infection with vaginal flora can develop into tubal endothelial damage and tubal edema, which can lead to tubal obstruction and fallopian tube abscess if left untreated. Fallopian tube abscess in adolescent virgins is very rare, it may lead to long-term or even lifelong complications once it occurred.
CASE PRESENTATION
A 12-year-old adolescent virgin with no history of sexual intercourse and previous physical fitness who presented with lower abdominal pain with nausea and vomiting for 22 h, body temperature up to 39.2 °C. Laparoscopic surgery revealed an abscess in the left fallopian tube, the left fallopian tube was surgically removed, successfully treated, and the pus was cultured for escherichia coli.
CONCLUSION
It is important to consider possibility of tubal infection in young.
背景
阴道菌群上行感染可发展为输卵管内皮损伤和输卵管水肿，如果不治疗，可能导致输卵管阻塞和输卵管脓肿。青春期少女的输卵管脓肿非常罕见，但一旦发生，可能导致长期甚至终身并发症。
病例介绍
一名 12 岁的未婚少女，无性生活史，既往体健，因下腹痛伴恶心呕吐 22 小时，体温高达 39.2°C 就诊。腹腔镜检查显示左侧输卵管脓肿，行左侧输卵管切除术，成功治疗，脓液培养出大肠杆菌。
结论
对于年轻患者，应重视输卵管感染的可能性。
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