title: Torsion of a hydrosalpinx in a virgin patient with Mayer-Rokitansky-Küster-Hauser syndrome: report of a rare condition and its possible etiology.
abstract: BACKGROUND
  To describe a rare case of hydrosalpinx torsion in a virgin patient with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome.
  
  
  METHODS
  A 25-year-old woman with previously diagnosed MRKH syndrome in whom lower abdominal pain led to discovery and resection of a hydosalpinx of unusual origin in a university hospital department of obstetrics and gynecology, Japan.
  
  
  CONCLUSIONS
  Laparoscopy revealed a twisted left-sided hydrosalpinx, and the mass was resected laparoscopically. Results of the blood test for Chlamydia trachomatis were positive, but results of the PCR test were negative. Our case was unusual in that hydrosalpinx is rare in virgin patients with MRKH. The cause of the hydrosalpinx was unclear, but one possibility is excess tubal secretions from the fallopian tube.
authors: Department of Obstetrics and Gynecology, Mie University School of Medicine, Mie, Japan. eijikon@clin.medic.mie-u.ac.jp
authors: Eiji
authors: E
authors: Kondo
authors: Tsutomu
authors: T
authors: Tabata
authors: Takaya
authors: T
authors: Shiozaki
authors: Takashi
authors: T
authors: Motohashi
authors: Koji
authors: K
authors: Tanida
authors: Toshiharu
authors: T
authors: Okugawa
authors: Tomoaki
authors: T
authors: Ikeda
mesh_terms: D058489:46, XX Disorders of Sex Development; D015746:Abdominal Pain / Q000209:etiology; D000015:Abnormalities, Multiple; D000328:Adult; D002690:Chlamydia Infections / Q000209:etiology; D002692:Chlamydia trachomatis; D000013:Congenital Abnormalities; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D009095:Mullerian Ducts / Q000002:abnormalities; D058994:Salpingectomy; D012488:Salpingitis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012746:Sexual Abstinence; D019170:Somites / Q000002:abnormalities; D013131:Spine / Q000002:abnormalities; D014102:Torsion Abnormality / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014463:Ultrasonography; D014599:Uterus / Q000002:abnormalities; D014621:Vagina / Q000002:abnormalities