Laparoscopic Salpingectomy for Hydrosalpinx in a Child After Surgeries for Meconium Peritonitis: A Case Report

Abstract

A ten-year-old girl with a history of two surgeries for meconium peritonitis at neonate was affected with pyosalpinx and was treated with antibiotics. Two years after the treatment of pyosalpinx, she had bilateral hydrosalpinx and the left hydrosalpinx expanded to a diameter of 11.5 cm; therefore, she felt abdominal distension and became anorexic. After consultation with obsterician-gynecologists and obtaining informed consent from her parents, we attempted laparoscopic resection of bilateral hydrosalpinx to improve her quality of life and to increase the success rate of future assisted reproductive treatment. We were able to remove the entire right fallopian tube but only most of the left one owing to firm adhesions near the ureter and ovary. Her postoperative course was uneventful. Because pyosalpinx and hydrosalpinx can occur long after surgeries for organs of the abdomen and pelvis during childhood, we should consider these diseases when encountering cases of abdominal pain with cystic lesions in the pelvis, especially in adolescent girls.