Related Experiment Video
Updated: Jun 25, 2026
11:29
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Isolated pyosalpinx in a 13-year-old virgin.
Amadeus Hornemann1, Hanno von Koschitzky, Michael K Bohlmann
1Department of Gynecology and Obstetrics, University of Schleswig-Holstein, Campus Luebeck, Luebeck, Germany. amadeus.hornemann@uk-sh.de
Fertility and Sterility
|February 24, 2009
Summary
This case report details the successful laparoscopic treatment of a pyosalpinx (pus in the fallopian tube) in a 13-year-old virgin. Minimally invasive surgery and antibiotics effectively resolved the infection.
Area of Science:
- Gynecologic Surgery
- Pediatric Surgery
- Infectious Diseases
Background:
- Pyosalpinx, a severe tubal infection, is rare in young, nulliparous patients.
- Differential diagnosis in adolescents presenting with lower abdominal pain is crucial.
Observation:
- A 13-year-old virgin presented with symptoms of acute abdomen, including pain and fever.
- Laparoscopy revealed an isolated, infected right fallopian tube (pyosalpinx) with purulent discharge.
Findings:
- Laparoscopic salpingotomy successfully drained the purulent material.
- Culture identified Escherichia coli as the sole pathogen, with no evidence of Chlamydia.
- Postoperative antibiotic therapy led to complete recovery.
Implications:
- Laparoscopy is a valuable tool for diagnosing and treating isolated pyosalpinx in young virgins.
- Early diagnosis and minimally invasive intervention can preserve reproductive health.
