Abstract
Abstract
This case report focused on a 40-years-old female patient who had right isolated tubal torsion presented with acute pelvic pain. A 40-years-old woman was admitted to hospital due to acute pelvic pain without nausea and vomiting. Ultrasound examination revealed a well circumscribed right adnexal cystic mass, without septations, measuring 71*60 mm. Laparoscopy had revealed the torsion of the right hydrosalpinx and right salpingectomy was performed afterwards. The patient had a history of 5 ectopic pregnancy, 2 laparoscopic salpingostomy and 1 laparoscopic tubal ligation previously. Isolated tubal torsion is a rare but should be kept in mind a possible pathology in differential diagnosis of current lower abdominal pain. Laparoscopy could be useful in diagnosing and treating the cases with isolated tubal torsion.
Keywords: Isolated tubal torsion, tubal ligation, ectopic pregnancy, laparoscopy
Özet
Bu olgu sunumu akut pelvik ağrı ile başvuran, izole sağ tuba torsiyonu olan 40 yaşındaki kadın hastayı sunmaktadır. 40 yaşındaki kadın, bulantı ve kusma olmaksızın akut pelvik ağrı şikâyeti ile hastaneye kabul edildi. Ultrason muayenesi ile 71*60 mm ölçülerindeki, septasyonun olmadığı, iyi sınırlı sağ adneksiyal kistik kitle saptandı. Laparoskopi ile sağ hidrosalpenks torsiyonu gösterilmiştir ve daha sonrasında sağ salpingektomi yapılmıştır. Hastanın öyküsünde 5 kez ektopik gebelik, 2 defa laparoskopik salpingostomi ve 1 kez de laparoskopik tüp ligasyonu mevcuttur. İzole tuba torsiyonu nadir görülür ancak mevcut alt karın ağrısının ayırıcı tanısında akılda tutulması gereken mümkün bir patolojidir. Laparoskopi, izole tuba torsiyonu olan olguların teşhis ve tedavisinde faydalı olabilir.
Anahtar sözcükler: İzole tubal torsiyon, tüp ligasyonu, ektopik gebelik, laparoskopi
References
- Ait Benkaddour Y, Bennani R, Aboulfalah A, Abbassi H. Uncommon cause of acute pelvic pain: isolated torsion of hydrosalpinx. Afr J Reprod Health 2009; 13: 147Phillips K, Fino ME, Kump L, Berkeley A. Chronic isolated fallopian tube torsion. Fertil Steril 2009; 92: 394.e1-3.
- Maor-Sagie E, Zivi E, Ben-Shushan A, Rojansky N. Fallopian tube torsion--a rare complication in the reproductive age. Harefuah 2009; 148: 432-4.
- Shukla R. Isolated torsion of the hydrosalpinx: a rare presentation. Br J Radiol 2004; 77: 784-6.
- Vierhout ME, Wallenburg HC. Torsion of the fallopian tube; a case report of a bilateral non-simultaneous torsion and a review of the literature. Eur J Obstet Gynecol Reprod Biol 1986; 23: 111-5.
- Warner MA, Fleischer AC, Edell SL, Thieme GA, Bundy AL, Kurtz AB, James AE Jr. Uterine adnexal torsion: sonographic findings. Radiology 1985; 154: 773
- Youssef AF, Fayad MM, Shafeek MA. Torsion of the fallopian tube. A clinicopathological study. Acta Obstet Gynecol Scand 1962; 41: 292-309.
- Elchalal U, Caspi B, Schachter M, Borenstein R. Isolated tubal torsion: clinical and ultrasonographic correlation. J Ultrasound Med 1993; 2: 115-7.
- Morse AN, Schroeder CB, Magrina JF, Webb MJ, Wollan PC, Yawn BP. The risk of hydrosalpinx formation and adnexectomy following tubal ligation and subsequent hysterectomy: A historical cohort study. Am J Obstet Gynecol 2006; 194: 1273-6.
- Ikeda S, Sumiyoshi M, Oki C. Torsion of the fallopian tube following sterilization. Gynecol Obstet Invest 1998; 46: 271-3.
- Droegemueller W. Benign gynecologic lesions. In: Comprehensive Gynecology. 3rd ed. Edited by S Baxter. St. Louis, Mosbyyear Book, Inc., 1997; 467-516. Skinner S, Voyvodic F, Scroop R, Sanders T. Isole Tubal Torsion: CT Features. Clinical Radiology 2001; 56: 155-65.
- Baumgartel PB, Fleischer AC, Cullinan JA, Bluth RF. Color doppler sonography of tubal torsion. Ultrasound Obstet Gynecol 1996; 7: 367-70.
- Ferrera PC, Kass LE, Verdile VP. Torsion of the fallopian tube. Am J Emerg Med 1995; 13:312-4.
- Gross M, Blumstein SL, Chow LC. Isolated fallopian tube torsion: a rare twist on a common theme. AJR Am J Roentgenol 2005; 185: 1590-2.
Abstract
Bu olgu sunumu akut pelvik ağrı ile başvuran, izole sağ tuba torsiyonu olan 40 yaşındaki kadın hastayı sunmaktadır. 40 yaşındaki kadın, bulantı ve kusma olmaksızın akut pelvik ağrı şikâyeti ile hastaneye kabul edildi. Ultrason muayenesi ile 71*60 mm ölçülerindeki, septasyonun olmadığı, iyi sınırlı sağ adneksiyal kistik kitle saptandı. Laparoskopi ile sağ hidrosalpenks torsiyonu gösterilmiştir ve daha sonrasında sağ salpingektomi yapılmıştır. Hastanın öyküsünde 5 kez ektopik gebelik, 2 defa laparoskopik salpingostomi ve 1 kez de laparoskopik tüp ligasyonu mevcuttur. İzole tuba torsiyonu nadir görülür ancak mevcut alt karın ağrısının ayırıcı tanısında akılda tutulması gereken mümkün bir patolojidir. Laparoskopi, izole tuba torsiyonu olan olguların teşhis ve tedavisinde faydalı olabilir.
References
- Ait Benkaddour Y, Bennani R, Aboulfalah A, Abbassi H. Uncommon cause of acute pelvic pain: isolated torsion of hydrosalpinx. Afr J Reprod Health 2009; 13: 147Phillips K, Fino ME, Kump L, Berkeley A. Chronic isolated fallopian tube torsion. Fertil Steril 2009; 92: 394.e1-3.
- Maor-Sagie E, Zivi E, Ben-Shushan A, Rojansky N. Fallopian tube torsion--a rare complication in the reproductive age. Harefuah 2009; 148: 432-4.
- Shukla R. Isolated torsion of the hydrosalpinx: a rare presentation. Br J Radiol 2004; 77: 784-6.
- Vierhout ME, Wallenburg HC. Torsion of the fallopian tube; a case report of a bilateral non-simultaneous torsion and a review of the literature. Eur J Obstet Gynecol Reprod Biol 1986; 23: 111-5.
- Warner MA, Fleischer AC, Edell SL, Thieme GA, Bundy AL, Kurtz AB, James AE Jr. Uterine adnexal torsion: sonographic findings. Radiology 1985; 154: 773
- Youssef AF, Fayad MM, Shafeek MA. Torsion of the fallopian tube. A clinicopathological study. Acta Obstet Gynecol Scand 1962; 41: 292-309.
- Elchalal U, Caspi B, Schachter M, Borenstein R. Isolated tubal torsion: clinical and ultrasonographic correlation. J Ultrasound Med 1993; 2: 115-7.
- Morse AN, Schroeder CB, Magrina JF, Webb MJ, Wollan PC, Yawn BP. The risk of hydrosalpinx formation and adnexectomy following tubal ligation and subsequent hysterectomy: A historical cohort study. Am J Obstet Gynecol 2006; 194: 1273-6.
- Ikeda S, Sumiyoshi M, Oki C. Torsion of the fallopian tube following sterilization. Gynecol Obstet Invest 1998; 46: 271-3.
- Droegemueller W. Benign gynecologic lesions. In: Comprehensive Gynecology. 3rd ed. Edited by S Baxter. St. Louis, Mosbyyear Book, Inc., 1997; 467-516. Skinner S, Voyvodic F, Scroop R, Sanders T. Isole Tubal Torsion: CT Features. Clinical Radiology 2001; 56: 155-65.
- Baumgartel PB, Fleischer AC, Cullinan JA, Bluth RF. Color doppler sonography of tubal torsion. Ultrasound Obstet Gynecol 1996; 7: 367-70.
- Ferrera PC, Kass LE, Verdile VP. Torsion of the fallopian tube. Am J Emerg Med 1995; 13:312-4.
- Gross M, Blumstein SL, Chow LC. Isolated fallopian tube torsion: a rare twist on a common theme. AJR Am J Roentgenol 2005; 185: 1590-2.
Details
| Primary Language | English |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | September 27, 2013 |
| Published in Issue | Year 2013Volume: 35 Issue: 3 |