Zainab Kazmi
University of Manchester School of Medicine, UK
Title: Best practice in management of pediatric and adolescent hydrosalpinx
Biography
Biography: Zainab Kazmi
Abstract
Hydrosalpinx is a rare cause of acute abdominal pain in pediatric patients, though some cases are documented in the literature. Its aetiology differs considerably from traditional hydrosalpinx that is due to ascending sexually transmitted infection. Hydrosalpinx in children can present mimicking an acute abdomen or can be asymptomatic. Management of pediatric hydrosalpinx varies, but often involves surgical removal of the affected tube. In June 2015, a literature search using relevant keywords was completed on MEDLINE and EMBASE databases to determine best management of pediatric hydrosalpinx. In total, 66 cases were found from 38 articles. Surgical intervention took place in 74% of cases (n=49). The most common surgical intervention was salpingectomy. In 3% of cases (n=2), nonsurgical medical management with hormonal therapy was utilized, with post-operative improvement in symptomology. In 23% of cases (n=15), conservative management was utilized: 2 of these cases torted, 4 cases persisted and 9 cases resolved. Overall, the results of this review demonstrate that there are comparable outcomes between surgical, medical and conservative management. However, medical and conservative management was not often offered, and more research is needed on the subject.