{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T14:45:01Z","timestamp":1792075501129,"version":"4.4.0"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T00:00:00Z","timestamp":1753228800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A perforated appendix has been believed to be a potential risk for damage to adnexal structures that may escalate the chances of infertility in girls in future. Acute complications that are uncommomly described postperforation of appendix may be salpingitis, hydrosalpinx, and pyosalpinx. A pyosalpinx or tubal abscess is the acute inflammation of the fallopian tube that fills up and swells with pus, which commonly results from inadequate or delayed treatment of pelvic inflammatory disease (PID). Pyosalpinx may present with common symptoms such as lower abdominal pain, vomiting, nausea, per vaginal discharge, and lesser noted symptoms such as fever and chills or remain silent. Primay pyosalpinx might occur as a severe sequelae of PID that is characterized by the inflammation of upper genital tract incorporating endometritis, salpingitis, and pelvic peritonitis. Secondary pyosalpinx, on the other hand, arises from adjacent pelvic structures such as appendix, colon, urinary bladder or may be from a pelvic malignancy. Herein, we report the case of acute appendicitis with bilateral pyosalpinx.<\/jats:p>","DOI":"10.4103\/aam.aam_75_25","type":"journal-article","created":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T17:01:58Z","timestamp":1753290118000},"page":"484-487","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Bilateral Pyosalpinx Mimicking Acute Appendicitis: An Uncommon but Critical Diagnostic Challenge"],"prefix":"10.4103","volume":"25","author":[{"given":"Rishika","family":"Mishra","sequence":"first","affiliation":[{"name":"Department of Surgery, D.Y. Patil Medical College and Research Centre, Affiliated to D.Y. Patil Vidyapeeth, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarang","family":"Gotecha","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, D.Y. Patil Medical College and Research Centre, Affiliated to D.Y. Patil Vidyapeeth, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prabhat Bhaskarrao","family":"Nichkaode","sequence":"additional","affiliation":[{"name":"Department of Surgery, D.Y. Patil Medical College and Research Centre, Affiliated to D.Y. Patil Vidyapeeth, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7,23]]},"reference":[{"key":"R1-20260311","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.clinimag.2006.12.023","article-title":"Alternative diagnoses of acute appendicitis on helical CT with intravenous and rectal contrast","volume":"31","author":"Karam","year":"2007","journal-title":"Clin Imaging"},{"key":"R2-20260311","doi-asserted-by":"crossref","first-page":"3942","DOI":"10.3748\/wjg.v19.i25.3942","article-title":"Treatment options of inflammatory appendiceal masses in adults","volume":"19","author":"Tannoury","year":"2013","journal-title":"World J Gastroenterol"},{"key":"R3-20260311","doi-asserted-by":"crossref","first-page":"4043","DOI":"10.3748\/wjg.v20.i14.4043","article-title":"Acute right lower abdominal pain in women of reproductive age:Clinical clues","volume":"20","author":"Hatipoglu","year":"2014","journal-title":"World J Gastroenterol"},{"key":"R6-20260311","doi-asserted-by":"crossref","first-page":"880","DOI":"10.1016\/0002-9378(80)91077-7","article-title":"Incidence, prevalence, and trends of acute pelvic inflammatory disease and its consequences in industrialized countries","volume":"138","author":"Westr\u00f6m","year":"1980","journal-title":"Am J Obstet Gynecol"},{"key":"R7-20260311","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1067\/j.cpsurg.2011.12.002","article-title":"Unexpected gynecologic findings during abdominal surgery","volume":"49","author":"Boyd","year":"2012","journal-title":"Curr Probl Surg"},{"key":"R8-20260311","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1016\/S0733-8635(05)70041-3","article-title":"Pelvic inflammatory disease. From diagnosis to prevention","volume":"16","author":"Paavonen","year":"1998","journal-title":"Dermatol Clin"},{"key":"R9-20260311","first-page":"1090","article-title":"Rupture of a pyosalpinx associated with an intra-uterine pregnancy","volume":"48","author":"Evans","year":"1955","journal-title":"Proc R Soc Med"},{"key":"R10-20260311","first-page":"299","article-title":"Torsion of a pyosalpinx","author":"Jackson","year":"1951","journal-title":"Br Med J"},{"key":"R11-20260311","doi-asserted-by":"crossref","first-page":"1961","DOI":"10.3748\/wjg.v17.i15.1961","article-title":"Unusual histopathological findings in appendectomy specimens:A retrospective analysis and literature review","volume":"17","author":"Akbulut","year":"2011","journal-title":"World J Gastroenterol"},{"key":"R12-20260311","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1016\/S0929-6646(08)60041-8","article-title":"Urologic manifestations of acute appendicitis secondary to metastatic cervical cancer","volume":"106","author":"Bair","year":"2007","journal-title":"J Formos Med Assoc"},{"key":"R13-20260311","first-page":"257","article-title":"Pyosalpinx and hydrosalpinx in virginal adolescents:Report of two cases","volume":"62","author":"Moralio\u011flu","year":"2013","journal-title":"West Indian Med J"},{"key":"R14-20260311","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1186\/1865-1380-4-64","article-title":"Bilateral pyosalpinx in a peripubescent female with Hirschsprung's disease:A case report","volume":"4","author":"Desai","year":"2011","journal-title":"Int J Emerg Med"},{"key":"R15-20260311","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1007\/s13244-012-0157-0","article-title":"Radiological appearances of gynaecological emergencies","volume":"3","author":"Roche","year":"2012","journal-title":"Insights Imaging"},{"key":"R16-20260311","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1056\/NEJMcp013351","article-title":"Clinical practice. Suspected appendicitis","volume":"348","author":"Paulson","year":"2003","journal-title":"N Engl J Med"},{"key":"R17-20260311","doi-asserted-by":"crossref","first-page":"859","DOI":"10.5811\/westjem.2014.9.21568","article-title":"Diagnosing appendicitis:Evidence-based review of the diagnostic approach in 2014","volume":"15","author":"Shogilev","year":"2014","journal-title":"West J Emerg Med"},{"key":"R18-20260311","doi-asserted-by":"crossref","first-page":"8799","DOI":"10.3748\/wjg.v19.i47.8799","article-title":"Acute appendicitis:What is the gold standard of treatment?","volume":"19","author":"Ruffolo","year":"2013","journal-title":"World J Gastroenterol"},{"key":"R19-20260311","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1186\/1752-1947-2-97","article-title":"Coliform pyosalpinx as a rare complication of appendicectomy:A case report and review of the literature on best practice","volume":"2","author":"Singh-Ranger","year":"2008","journal-title":"J Med Case Rep"},{"key":"R20-20260311","first-page":"686","article-title":"Free, suppurative peritonitis due to pyosalpinx","volume":"3","author":"Halpenny","year":"1913","journal-title":"Can Med Assoc J"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_75_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:47:08Z","timestamp":1787773628000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_75_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,23]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_75_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,23]]},"assertion":[{"value":"2025-03-11","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-30","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}