title: Isolated pyosalpinx in a 13-year-old virgin.
abstract: OBJECTIVE
  To describe the successful laparoscopic management of an isolated pyosalpinx in a 13-year-old virgin.
  
  
  METHODS
  Case report.
  
  
  METHODS
  University of Schleswig-Holstein, Campus Luebeck, Department of Gynecology and Obstetrics and Department of Pediatric Surgery.
  
  
  METHODS
  A 13-year-old virgin with a pyosalpinx.
  
  
  METHODS
  Salpingotomy and antibiotic treatment.
  
  
  METHODS
  Successful laparoscopic management of an isolated pyosalpinx in a virgin.
  
  
  RESULTS
  A 13-year-old virgin presented with abdominal pain, fever, and a cystic mass in the right lower abdomen. A laparoscopy was performed. The appendix, the uterus, and the left tube appeared normal with no signs of infection. The right tube was swollen, and after incision, purulent liquid poured out of the tube. The swab revealed the presence of Escherichia coli only, without evidence of other bacteria such as Chlamydia. With antibiotic treatment, the infection was adequately treated, and the patient was discharged in a healthy condition.
  
  
  CONCLUSIONS
  In a young virgin, a pyosalpinx has to be considered as a differential diagnosis. If there is no evidence of other infections, laparoscopy may help to confirm the diagnosis of pyosalpinx and simultaneously offer minimally invasive therapy.
authors.affiliation: Department of Gynecology and Obstetrics, University of Schleswig-Holstein, Campus Luebeck, Luebeck, Germany. amadeus.hornemann@uk-sh.de
authors.forename: Amadeus
authors.initials: A
authors.lastname: Hornemann
authors.forename: Hanno
authors.initials: H
authors.lastname: von Koschitzky
authors.forename: Michael K
authors.initials: MK
authors.lastname: Bohlmann
authors.forename: Daniela
authors.initials: D
authors.lastname: Hornung
authors.forename: Klaus
authors.initials: K
authors.lastname: Diedrich
authors.forename: Kianusch
authors.initials: K
authors.lastname: Taffazoli
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002097:C-Reactive Protein / Q000378:metabolism; D003937:Diagnosis, Differential; D004926:Escherichia coli / Q000302:isolation & purification; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008598:Menstruation; D012488:Salpingitis / Q000175:diagnosis / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D002097:C-Reactive Protein