title: Suggested spontaneous resolution of possible paediatric hydrosalpinx: a case report with discussion.
abstract: Hydrosalpinx is a rare cause of abdominal pain in paediatric patients, though cases are documented in the literature. Its aetiology differs considerably from traditional hydrosalpinx due to ascending sexually transmitted infection. Hydrosalpinx can resent mimicking an acute abdomen or can be asymptomatic. Management of paediatric hydrosalpinx varies but often involves surgical removal of the affected tube. A 12-year-old girl presented with left-sided acute abdominal pain setting within 24 h. Initial ultrasound scan suggested presence of hydrosalpinx. Post-discharge follow-up appointment with a consultant paediatric gynaecologist demonstrated no symptomology, but repeated scan by another sonographer showed continued presence of possible hydrosalpinx, which had since grown. Later, MRI was performed to confirm site of the lesion. However, MRI revealed no tubal masses, suggesting spontaneously resolved hydrosalpinx. Consultant-administered ultrasound scan confirm no tubal abnormalities. Our case suggests spontaneous resolution in possible paediatric hydrosalpinx. Our recommendation is for conservative management of asymptomatic paediatric and adolescent hydrosalpinges, with emergency surgery offered if symptoms indicative of tubal or adnexal torsion.
authors.affiliation: University of Manchester School of Medicine, Stopford Building, Oxford Road, Manchester, M13 9PT UK ; Women's Health Directorate, Royal Preston Hospital, Sharoe Green Lane North, Preston, Lancashire PR2 9HT UK.
authors.forename: Zainab
authors.identifier: 0000-0001-5984-3692
authors.initials: Z
authors.lastname: Kazmi
authors.affiliation: Women's Health Directorate, Royal Preston Hospital, Sharoe Green Lane North, Preston, Lancashire PR2 9HT UK.
authors.forename: Sujata
authors.initials: S
authors.lastname: Gupta
authors.affiliation: Department of Radiology, Royal Preston Hospital, Sharoe Green Lane North, Preston, Lancashire PR2 9HT UK.
authors.forename: Michael
authors.initials: M
authors.lastname: Dobson
keywords: Abdominal tenderness; Gynaecological sonographer; Paediatric hydrosalpinx