Secondary hydrosalpinx in adolescents: a challenging decision-making process for surgical choice and future fertility preservation

  • Angela Riccio Pediatric Surgery Unit, Hospital “Spirito Santo”, Pescara - University “G. d’Annunzio”, Chieti-Pescara, Italy. https://orcid.org/0000-0001-8414-1932
  • Gabriele Lisi | gabriele.lisi@unich.it Pediatric Surgery Unit, Hospital “Spirito Santo”, Pescara - University “G. d’Annunzio”, Chieti-Pescara, Italy. https://orcid.org/0000-0002-7590-9505
  • Maria Enrica Miscia Pediatric Surgery Unit, Hospital “Spirito Santo”, Pescara - University “G. d’Annunzio”, Chieti-Pescara, Italy.
  • Gilda Di Paolo Service of Pediatric and Adolescent Gynecology, Department of Medicine and Aging Science, University “G. d’Annunzio” of Chieti-Pescara, Italy.
  • Giuseppe Lauriti Pediatric Surgery Unit, Hospital “Spirito Santo”, Pescara - University “G. d’Annunzio”, Chieti-Pescara, Italy. https://orcid.org/0000-0002-0619-8957
  • Pierluigi Lelli Chiesa Pediatric Surgery Unit, Hospital “Spirito Santo”, Pescara - University “G. d’Annunzio”, Chieti-Pescara, Italy. https://orcid.org/0000-0003-3736-2200

Abstract

Hydrosalpinx in pre-pubertal children and non-sexually active adolescents is a rare finding with several etiology and negative impact on future female fertility. The therapeutic approach in these specific populations is debated and it must consider its etiology and adult guidelines focused on fertility issues, which suggest laparoscopic salpingectomy. We described two adolescent cases (15 years asymptomatic and 13 years with abdominal pain) presenting a monolateral hydrosalpinx secondary to surgery for Hirschsprung’s disease and complicated appendicitis, respectively. Both patients underwent to uncomplicated robotic-assisted salpingectomy, with uneventful follow-up and preserved ovarian function. Robotic-assisted salpingectomy for hydrosalpinx secondary to previous surgical conditions is a safe and careful approach for adolescents in order to preserve ovarian vascularization, function and future fertility.

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Published
2021-02-15
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Issue
Section
Case Reports
Keywords:
Adolescent, fallopian, hydrosalpinx, robot, salpingectomy
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How to Cite
Riccio, A., Lisi, G., Miscia, M. E., Di Paolo, G., Lauriti, G., & Lelli Chiesa, P. (2021). Secondary hydrosalpinx in adolescents: a challenging decision-making process for surgical choice and future fertility preservation. La Pediatria Medica E Chirurgica, 42(2). https://doi.org/10.4081/pmc.2020.233