CASE REPORTS   

Gazzetta Medica Italiana Archivio per le Scienze Mediche 2014 March;173(3):135-9

Copyright © 2014 EDIZIONI MINERVA MEDICA

language: English

Escherichia coli caused a sactosalpingitis in an 11-year-old virgin girl

Algeri P. ¹, Visconti A. ², Ermito S. ², Algeri M. ²

¹ Department of Medicine and Surgery Milano Bicocca University, Monza, Italy; ² Operative Unit of Obstetrics and Gynecology P. O. Locatelli,”Bolognini” Hospital Piario, Bergamo, Italy

Pelvic inflammatory disease (PID) includes all the genital tract infections and involves sexually active women in fertile age in 85% of cases. Amenorrheic or sexually inactive women are rarely affected by PID. The incidence of tubo-ovarian abscess, an important complication of PID, is approximately 15% of all cases. Our case regards a virgin young girl of 11 years old, whose menarche was two weeks before the hospitalization, who presented abdominal pain supposed to be due to an ovarian torsion. The abdominal valuation during laparoscopic surgery showed a left sactosalpingitis. The cultural exam demonstrated an Escherichia coli infection, sensible to all tested antibiotics. The PID is rare in young, sexually inactive girls, but it is important to suspect it: only an appropriate and timely therapy could avoid serious long-term complications.