Raju Shivani, Kashyap Shravya, Jobran Afnan W M, K Shrivarshini, N Shravya
The Oxford Medical College Hospital and Research Centre, Bangalore, India.
Faculty of Medicine, Al Quds University, Jerusalem, Palestine.
J Surg Case Rep. 2024 Sep 9;2024(9):rjae549. doi: 10.1093/jscr/rjae549. eCollection 2024 Sep.
A medical condition called hematosalpinx causes an accumulation of blood within the fallopian tube. It is usually seen in patients with ectopic pregnancy. Inflammatory disease of the pelvis, tubal cancer, pelvic trauma, and endometriosis are further causes. Here, we report a unique case of hematosalpinx with associated tubal torsion in a 13-year-old female lacking any previously reported contributing causes. She is celibate and presented with abdominal pain and fever. Beta-hcg was not present, and her menstrual cycle was regular. Pelvic ultrasound sonography revealed a large cyst and was suggestive of a right paraovarian cyst. An exploratory laparotomy was performed and a giant hematosalpinx was observed in an otherwise normal ovary. In conclusion, although very rare in adolescence, hematosalpinx must be considered in the differential diagnosis. This unusual instance highlights new concerns regarding the pathogenesis of hematosalpinx.
一种名为输卵管积血的病症会导致输卵管内血液积聚。它通常见于异位妊娠患者。盆腔炎症性疾病、输卵管癌、盆腔创伤和子宫内膜异位症是其他病因。在此，我们报告一例13岁女性的独特输卵管积血病例，伴有输卵管扭转，且无任何先前报道的促成病因。她未婚，出现腹痛和发热症状。β-人绒毛膜促性腺激素阴性，月经周期正常。盆腔超声检查显示一个大囊肿，提示右侧卵巢旁囊肿。进行了剖腹探查术，在其他方面正常的卵巢中观察到一个巨大的输卵管积血。总之，尽管输卵管积血在青少年中非常罕见，但在鉴别诊断时必须考虑到。这个不寻常的病例凸显了关于输卵管积血发病机制的新问题。
