Severe labial adhesion causing lower genital tract obstruction and bilateral pyosalpinx in an adolescent girl.

Kim, Mi Kyoung; Kim, Soo Hyun; Cha, Sun Hee; Lee, Mee Hwa

Case Report

Korean Journal of Obstetrics & Gynecology 2009;52(10):1069-1074.
Published online October 1, 2009.

Severe labial adhesion causing lower genital tract obstruction and bilateral pyosalpinx in an adolescent girl.

Mi Kyoung Kim, Soo Hyun Kim, Sun Hee Cha, Mee Hwa Lee

Department of Obstetrics and Gynecology, CHA Bundang Medical Center, CHA University, Gyeonggi-do, Korea

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.

Key Words: Labial adhesion, Adolescent, Pyosalpinx