Severe labial adhesion causing lower genital tract obstruction and bilateral pyosalpinx in an adolescent girl.
- Author:
Mi Kyoung KIM
1
;
Soo Hyun KIM
;
Sun Hee CHA
;
Mee Hwa LEE
Author Information
1. Department of Obstetrics and Gynecology, CHA Bundang Medical Center, CHA University, Gyeonggi-do, Korea
- Publication Type:Case Report
- Keywords:
Labial adhesion;
Adolescent;
Pyosalpinx
- MeSH:
Adolescent;
Adult;
Anti-Bacterial Agents;
Estrogens;
Female;
Humans;
Inflammation;
Reproductive Tract Infections;
Urinary Retention
- From:Korean Journal of Obstetrics and Gynecology
2009;52(10):1069-1074
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Labial adhesions are extremely rare in adolescent and adult populations, because the etiology of this entity commonly relates to chronic vulvar inflammation or irritation, and is basically associated with low estrogen status. Although a few cases reported urinary retention resulting from severe labial adhesions, there is no report of labial adhesion that precipitates upper genital tract infection in prepubertal and postpubertal females. We present a rare case of severe labial adhesion and consequential lower genital tract obstruction that allegedly causing bilateral pyosalpinx in a 14-year-old adolescent girl who decisively denied sexual experience. The patient was successfully treated with surgical lysis of adhesion and administration of antibiotics.
