Pyosalpinx as a sequela of labial fusion in a post-menopausal woman: a case report

Author:

Tsianos George I,Papatheodorou Stefania I,Michos George M,Koliopoulos George,Stefos Theodor

Abstract

Abstract Introduction Complete labia fusion is a rare clinical entity in post-menopausal women. The most common complications of this presentation are infections of the urinary tract and retention of urine in the vagina. We present the case of a post-menopausal woman with adnexal mass and abdominal pain due to fusion of the labia majora. To the best of our knowledge this is the first report in the literature of this complication. Case presentation A 78-year-old Caucasian woman was admitted to our hospital due to abdominal pain and urination difficulty, along with fever and leucocytosis. On examination the labial majora were fused. Computed tomography of the abdomen revealed a cystic formation in the anatomical area of the right adnexa. Our patient had developed a pyosalpinx as a Sequela of labial fusion. At laparoscopy the right pyosalpinx was identified and resected, whereas the labia majora were reconstructed via dissection and separation. Conclusions Labial fusion is a rare clinical entity in post-menopausal women and can have serious and unexpected complications. Though this presentation is rare, a clinical examination must be performed in detail in order to gain valuable information for an accurate diagnosis. Post-operational instruction must be given to patients in order to prevent the re-occurrence of the fusion and its complications.

Publisher

Springer Science and Business Media LLC

Subject

General Medicine

Cited by 6 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Chronic Bladder Retention Due to Lip Coalescence: A Case Report;European Journal of Medical and Health Research;2023-07-01

2. Labial Adhesion in Adulthood: A Report of Two Cases;Meandros Medical and Dental Journal;2022-06-01

3. Pyosalpinx due to Cronobacter sakazakii in an elderly woman;BMC Women's Health;2021-04-01

4. Labial adhesions in postmenopausal women: presentation and management;International Urogynecology Journal;2018-11-28

5. Postmenopausal labial agglutination mimics urinary incontinence and hidden vaginal lesion;Journal of Obstetrics and Gynaecology Research;2018-01-03

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