title: Bilateral hydrosalpinx in adolescent girls with Hirschsprung's disease: association of two rare conditions.
abstract: OBJECTIVE
  The purpose of our study was to illustrate three cases of bilateral hydrosalpinx in postpubertal girls operated on for Hirschsprung's disease and to discuss the possible cause: iatrogenic or congenital. We identified bilateral hydrosalpinx in three postpubertal sexually inactive girls with Hirschsprung's disease treated, respectively by Duhamel, Soave pull-through, and Martin procedures. No history of surgical complications or pelvic inflammation had been reported.
  
  
  CONCLUSIONS
  Hirschsprung's disease is rare in girls and bilateral hydrosalpinx is also extremely uncommon in sexually inactive adolescents. We think there may be a possible common cause: either a postsurgical complication or a congenital defect of the autonomous innervation in the context of a neurocristopathy. Because of the rarity of both conditions, the association is unlikely to be coincidental. The cause of this association is unclear and further studies are required to find its prevalence and to estimate the possible impact on fertility.
authors.affiliation: Unit of Pediatric Radiology, University Hospital, HUG 6, Willy-Donzé, 1205 Geneva, Switzerland. laura.merlini@hcuge.ch
authors.forename: Laura
authors.initials: L
authors.lastname: Merlini
authors.forename: Mehrak
authors.initials: M
authors.lastname: Anooshiravani
authors.forename: Barbara
authors.initials: B
authors.lastname: Peiry
authors.forename: Giorgio
authors.initials: G
authors.lastname: La Scala
authors.forename: Sylviane
authors.initials: S
authors.lastname: Hanquinet
mesh_terms: D000293:Adolescent; D002648:Child; D005184:Fallopian Tube Diseases / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D005260:Female; D006627:Hirschsprung Disease / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans