Laparoscopic salpingectomy for hydrosalpinx in adolescent females - A report of two cases

Abstract

Hydrosalpinx is usually a sequel of pelvic inflammatory disease and is rare in adolescence. We report our experience with two cases of hydrosalpinx in adolescent females aged 14 and 15 years. Both the patients had previous histories of abdominal surgery and presented with worsening lower abdominal pain of several months' duration. The first patient had undergone appendicectomy at the age of 3 years, while the second had undergone multiple laparotomies (Beckwith-Wiedemann syndrome, nephrectomy for Wilms' tumour, adhesive intestinal obstruction, etc.) in the past. Magnetic resonance imaging and laparoscopy revealed bilateral hydrosalpinx in the first patient which was treated by laparoscopic bilateral salpingectomy. The second patient underwent a right-sided salpingectomy for a right hydrosalpinx. We discuss the case histories and present a review of the literature. © 2007 Springer-Verlag.