Hidrosalpinx
Paciente femenina de 20 años ,menarquia 12 años Gesta 0 Partos 0, con historia de larga data ( 7 años ) de dolores hipogastricos, tanto durante la menstruación, como en los periodos inter-menstruales. Refiere flujo amarillento durante todo ese tiempo ( 7 años ). Ha realizado múltiples tratamientos médicos, pero sin obtener resultados, ella asegura que ha sido fiel a los tratamientos, pero al no obtener resultados, no ha vuelto a chequeos. Se realiza exploración eco-sonografica pelvica via trans-abdominal, dado el estado de preservacion de la virginidad de la paciente. En el examen se aprecia utero con parametros eco-sonograficos normales pero con latero-desviacion izquierda, provocada por la presencia de masa an-ecogena, liquida, con refuerzo posterior, localizada en anexo derecho, mide aprox: 4,7 x 2,8 x 2,1 cms con un volumen aprox: de 14,6 c.c. En anexo izquierdo se aprecia otra masa similar pero de menor tamaño ( 2,5 x 1,1 x 1,1 cms ). Ante esta situación de Hidrosalpinx bilateral, aconsejamos a la paciente de ceñirse estrictamente al tratamiento y a los chequeos periodicos hasta acabar con esta situacion, advirtiendole del peligro para su fertilidad futura que representan estos hallazgos.
A female patient of 20 years, menarche 12 years, Gesta 0 Births 0, with long-standing history ( 7 years ) of hypogastric pain, both during menstruation, such as inter-menstrual periods. Refer to yellowish discharge during that time ( 7 years ). She has made numerous medical treatments but to no avail, she says she has been faithful to the treatments, but getting no results, has not returned checks. Sonographic exploration is performed via trans-pelvic given the state of preservation of the virginity of the patient. The review appreciates eco-Utero sonography parameters normal but lest lateral -deviation caused by the presence of an-echogenic mass, liquid, with posterior enhancement, located en the annex entitled, measures approx: 4.7 X 2.8 X 2.1 cm with a volume approx: from 14.6 ccs. Attached left another mass is seen similar but smaller ( 2.5 X 1.1 X 1.1. cm ). Given this situation of bilateral Hydrosalpinx, advise the patient to adhere strictly to treatment and periodic checkups to end this situation, warning of danger to their future fertility posed by these findings.
Hydrosalpinx
A female patient of 20 years, menarche 12 years, Gesta 0 Births 0, with long-standing history ( 7 years ) of hypogastric pain, both during menstruation, such as inter-menstrual periods. Refer to yellowish discharge during that time ( 7 years ). She has made numerous medical treatments but to no avail, she says she has been faithful to the treatments, but getting no results, has not returned checks. Sonographic exploration is performed via trans-pelvic given the state of preservation of the virginity of the patient. The review appreciates eco-Utero sonography parameters normal but lest lateral -deviation caused by the presence of an-echogenic mass, liquid, with posterior enhancement, located en the annex entitled, measures approx: 4.7 X 2.8 X 2.1 cm with a volume approx: from 14.6 ccs. Attached left another mass is seen similar but smaller ( 2.5 X 1.1 X 1.1. cm ). Given this situation of bilateral Hydrosalpinx, advise the patient to adhere strictly to treatment and periodic checkups to end this situation, warning of danger to their future fertility posed by these findings.
