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Case Reports
. 2020 Feb 26:52:16-18.
doi: 10.1016/j.amsu.2020.02.003. eCollection 2020 Apr.

Unusual presentation of bilateral pyosalpinx mimicking an ovarian torsion: A case report

Sameer Sendy  1 , Allyn Abuy  1 , Wd Sendy  2 , Saeed Baradwan  3
Affiliations
Case Reports

Unusual presentation of bilateral pyosalpinx mimicking an ovarian torsion: A case report

Sameer Sendy et al. Ann Med Surg (Lond). .

Abstract

Introduction: A pyosalpinx is the acute inflammation of the Fallopian tube fills up and swells with pus, which commonly results from inadequate or delayed treatment of pelvic inflammatory disease. Herein we report a case of bilateral pyosalpinx mimicking an ovarian torsion.

Presentation of case: We reported the case of a 27-year-old female patient, who presented to the emergency department with complaints of constant, worsening lower abdominal pain for 2-3 days. Pelvic and transvaginal ultrasound examinations were performed which demonstrated a large, complex cystic structure in the right adnexa with peripheral flow on color Doppler imaging. The possibilities included ovarian torsion or hemorrhagic cyst. Intraoperative findings showed bilateral pyosalpinx and treated successfully by laparoscopic bilateral salpingostomy.

Conclusion: The present case highlights the diagnostic dilemma of bilateral pyosalpinx must be taken into account in the differential diagnosis of ovarian torsion or tumor, particularly in women of reproductive age.

Keywords: Case report; Pelvic inflammatory disease; Pyosalpinx; Salpingostomy; Tubal abscess; Ultrasound.

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Conflict of interest statement

The authors declare that they have no conflict of interest regarding the publication of this case report.

Figures

Fig. 1
Fig. 1
Ultrasound showing an elongated hypo-echoic thick-walled tubule-cystic mass measuring 9.9 x 3.4 × 7.7cm with complex heterogeneous with internal echoes in the right adnexa.
Fig. 2
Fig. 2
The fallopian tubes were enlarged with a clubbed fimbrial end.
Fig. 3
Fig. 3
After salpingostomy, the fallopian tubes were filled with pus.
See this image and copyright information in PMC

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