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We report a case of a torted mature cystic teratoma in a year-old, sexually inactive, virgin female which necessitated immediate laparoscopy. The patient and her family stressed that the integrity of the hymen must be maintained at any cost, for cultural reasons. Left salpingo-oophorectomy was accomplished, and the specimen was removed using a large nephrectomy endobag.

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Torsion of the fallopian tube is not an exceedingly rare condition. Since the first report of a case by Bland-Sutton 1 infollowed by one by Delbet 2 inthere have appeared reports of many cases in which the torsion was due to various pathologic conditions of the adnexa pyosalpinx, hydrosalpinx, hematosalpinx and tumor. In many cases torsion of the tube was associated with torsion of the corresponding ovary.

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Scientific Research An Academic Publisher. Affiliation s. Traditionally, tubal patency is evaluated using hysterosalpingography HSGFalloposcopy or laparoscopy and dye test [2] [5] [6] [7].

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Tubo-ovarian abscess as a serious complication of pelvic inflammatory disease is very uncommon in sexually inactive girls. We report a case of tubo-ovarian abscess in a year-old sexually inactive girl with transverse vaginal septum who was presented with abdominal pain and a pelvic mass and without prior surgical history and no evidences of appendicitis, inflammatory bowel disease, or cancer. A huge unilateral tubo-ovarian abscess was recognized at laparotomy. Unilateral salpingoophorectomy, hysterectomy and postoperative antibiotic therapy cured the patient.

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