Challenging Situations in Gynaecological Laparoscopy - Case Report and Short Literature Review

Abstract

Laparoscopy is a surgical procedure that can be chosen for benign gynaecological conditions. It is considered the gold standard diagnostic procedure for pelvic inflammatory disease. We report the case of a 20 years old woman who was admitted to our clinic for fever, vaginal discharge, and lower abdominal pain. The established diagnosis was right hydrosalpinx. After antibiotic therapy she underwent laparoscopy. During the procedure, we observed adhesions that involved the small bowel, sigmoid, uterus, ovaries, large omentum, and Fitz–Hugh-Curtis syndrome. Difficult dissection was performed due to the adhesion process extended from the umbilicus to the pelvic floor. Neosalpingostomy was performed for right hidrosalpinx. The outcome of the patient was favorable. The peculiarity of the case is the important adhesion process in a patient with no surgical history and pelvic inflammatory disease symptoms.