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Massive haematometrosalpinx in a young girl with cloacal anomalies: Laparoscopic management

Authors:

D. Silva ,

University of Sri Jayewardenepura, LK
About D.
Senior Lecturer, Department of Obstetrics and Gynaecology, Faculty of Medical Sciences
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P. Randombage,

Colombo South Teaching Hospital, Kalubowila, LK
About P.
Senior Registrar in Obstetrics and Gynaecology
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W. Gankanda,

Colombo South Teaching Hospital, Kalubowila, LK
About W.
Senior Registrar in Obstetrics and Gynaecology
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J. Mathanamohan,

Colombo South Teaching Hospital, Kalubowila, LK
About J.
House Officer in Obstetrics and Gynaecology
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S. Abeygunasekera

Lady Ridgeway Hospital for Children, Colombo, LK
About S.
Consultant Paediatric Surgeon
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Abstract

A cloacal anomaly refers to the collection of defects that occur during fetal development, where the intestinal, urinary and reproductive tracts open into a common cavity. It is imperative to address this condition since despite its fairly low incidence and limited data, it has a very high impact on the patient's quality of life, and therefore mandates further study to effectively manage these patients. This study is regarding a 13-year-old girl diagnosed to have a cloacal anomaly since birth presenting with cyclical abdominal and pelvic pain for 6 months. She had undergone multiple abdominal and pelvic corrective surgeries since birth, leading to a colostomy and Mitrofanoff channel for bowel and bladder control, respectively. Diagnostic imaging revealed bilateral haematosalpinx for which ultrasound guided aspiration followed by subcutaneous administration of GnRH analogues was given as a temporary mode of relief which eventually recurred within 4 months. Following an extensive Multidisciplinary discussion, the team proceeded with the crucial decision of a hysterectomy and bilateral salpingectomy. The surgery itself was challenging due to multiple adhesions, scarring and difficulty in port placement. Following surgery, the patient's quality of life significantly improved allowing her to attend to her activities of daily living and maintain a social life. The need for future appointments to address sexual functions and fertility wishes was explained.
How to Cite: Silva, D., Randombage, P., Gankanda, W., Mathanamohan, J. and Abeygunasekera, S., 2021. Massive haematometrosalpinx in a young girl with cloacal anomalies: Laparoscopic management. Sri Lanka Journal of Obstetrics and Gynaecology, 43(3), pp.197–202. DOI: http://doi.org/10.4038/sljog.v43i3.7990
Published on 25 Nov 2021.
Peer Reviewed

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