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Bilateral Hydrosalpinx in Adolescent Girls with Hirschsprung's Disease: Association of Two Rare Conditions

Laura Merlini1, Mehrak Anooshiravani1, Barbara Peiry2, Giorgio La Scala2 and Sylviane Hanquinet1

1 Unit of Pediatric Radiology, University Hospital, HUG 6, Willy-Donzé, 1205 Geneva, Switzerland.
2 Clinic of Pediatric Surgery, University Hospital, Geneva, Switzerland.


Figure 1
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  		Fig. 1A —12-year-old girl with rectosigmoid Hirschsprung's disease treated by Duhamel procedure. Drawing shows healthy bowel in green and unhealthy bowel in red. Blue line indicates bladder catheter.

 

Figure 2
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  		Fig. 1B —12-year-old girl with rectosigmoid Hirschsprung's disease treated by Duhamel procedure. Pelvic sagittal sonogram shows fluid-filled tubular structure with folds on left side (internal echoes due to reverberation artifacts).

 

Figure 3
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  		Fig. 1C —12-year-old girl with rectosigmoid Hirschsprung's disease treated by Duhamel procedure. Parasagittal sonograms show complex heterogeneous mass on right side with beaked appearance (D).

 

Figure 4
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  		Fig. 1D —12-year-old girl with rectosigmoid Hirschsprung's disease treated by Duhamel procedure. Parasagittal sonograms show complex heterogeneous mass on right side with beaked appearance (D).

 

Figure 5
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  		Fig. 2A —11-year-old girl with rectosigmoid Hirschsprung's disease treated by Soave procedure. Drawing shows ganglionated bowel in green and aganglionated bowel in red. Blue line indicates bladder catheter.

 

Figure 6
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  		Fig. 2B —11-year-old girl with rectosigmoid Hirschsprung's disease treated by Soave procedure. Pelvic axial plane sonogram shows fallopian tubes as fluid-filled tubular structures folded on themselves.

 

Figure 7
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  		Fig. 2C —11-year-old girl with rectosigmoid Hirschsprung's disease treated by Soave procedure. Sagittal T2-weighted MR image shows typical tubular structures.

 

Figure 8
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  		Fig. 2D —11-year-old girl with rectosigmoid Hirschsprung's disease treated by Soave procedure. Axial T1-weighted gadolinium-enhanced MR image shows enhancement of tubal walls.

 

Figure 9
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  		Fig. 3A —16-year-old girl with total colonic Hirschsprung's disease treated by Lester Martin procedure. Drawing shows aganglionated bowel in red and common channel with side-to-side ileocolic and ileorectal anastomosis to normal bowel in green. Blue line indicates bladder catheter.

 

Figure 10
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  		Fig. 3B —16-year-old girl with total colonic Hirschsprung's disease treated by Lester Martin procedure. Axial (B) and sagittal (C) sonograms show bilateral paraovarian complex masses. Sagittal image (C) shows fluid in tubes (internal echoes result from reverberation artifacts) with no clear folds inside.

 

Figure 11
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  		Fig. 3C —16-year-old girl with total colonic Hirschsprung's disease treated by Lester Martin procedure. Axial (B) and sagittal (C) sonograms show bilateral paraovarian complex masses. Sagittal image (C) shows fluid in tubes (internal echoes result from reverberation artifacts) with no clear folds inside.

 

Figure 12
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  		Fig. 3D —16-year-old girl with total colonic Hirschsprung's disease treated by Lester Martin procedure. Coronal T2-weighted MR image shows typical findings of hydrosalpinx.

 

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