Hidrosálpinx en una niña prepuberalun caso excepcional en la edad pediátrica

  1. Rafael Martín Masot
  2. J.M. Osorio Cámara
  3. E. Pastor Pons
  4. D. Vallejo Díaz
  5. Juan Luis Santos Pérez
Journal:
Acta pediátrica española

ISSN: 0001-6640

Year of publication: 2018

Volume: 76

Issue: 7-8

Pages: 113-115

Type: Article

More publications in: Acta pediátrica española

Abstract

Hydrosalpinx consists of accumulation of clear or serous fluid in the fallopian tube, due to distal obstruction and dilatation of the same. It is a well-described but infrequent entity, especially in sexually inactive or prepubertal women, since the main etiology of the condition is usually pelvic inflammatory disease. We present the case of an 11-year-old pubertal girl (Tanner II) with no sexual activity. In these ages there are very few cases de-scribed and in all of them an underlying cause is found, although the pathogenesis is unclear. In our case, we did not find any risk factors for the appearance of hydrosalpinx, but in posterior image revisions, three months after menarche, an endometrioma was found, the exception being precisely the appearance of the malformation prior to the endometrioma, although both processes may be influenced by hormonal factors in adolescence.