Pediatric pyosalpinx without sexually transmitted infection: A report of 3 cases

Area of Science:

• Pediatric Gynecology
• Interventional Radiology
• Infectious Diseases

Background:

• Pelvic inflammatory disease (PID) is a common adult infection, often caused by sexually transmitted organisms, leading to infertility.
• PID is rare in pediatric populations, especially without sexual activity, increasing the risk of delayed diagnosis.
• Pyosalpinx, a severe form of PID involving pus in the fallopian tubes, presents unique challenges in pediatric cases.

Observation:

• This study presents three pediatric cases of pyosalpinx caused by noncommunicable infectious agents.
• Children are at higher risk for diagnostic delays due to limited use of transvaginal ultrasound.
• Pediatric interventional radiology services play a vital role in managing gynecological infections.

Findings:

• Successful ultrasound-guided drainage of pyosalpinx was achieved in pediatric patients.
• Both transabdominal and transrectal approaches were effective for drainage.
• Non-sexually transmitted pathogens were identified as the cause of pyosalpinx in these cases.

Implications:

• Highlights the importance of considering pyosalpinx in pediatric patients with abdominal pain, even without sexual activity.
• Emphasizes the critical role of pediatric interventional radiology in managing complex gynecological infections.
• Suggests that prompt diagnosis and intervention can prevent long-term complications like infertility in affected children.