Öz
İzole fallop tüp torsiyonu kadınlarda yaygın olmayan bir akut batın nedenidir. Hastanemiz acil servis departmanına 18 yaşında ve bakire olup karın ağrısıyla başvuran bir olguyu sunmayı amaçladık. Pelvik ultrasonda 4 cm ve 3 cm’lik kistik kitleler içeren bilateral boyutları artmış overler ve Duglas poşunda serbest sıvı izlendi. Acil laparoskopi kararı verildi. Nekrotik uzun aksı boyunca kıvrılmış sağ tüple birlikte koyu mavi renkte sağ hidrasalpinks olduğu görüldü. Genişlemiş pelvik kitlenin detorsiyonunda laparoskopinin teknik kısıtlılıkları olması üzerine laparotomiye geçildi. Sağ salpenjektomi uygulandı. Sonuç olarak; tubal torsiyon şüphesinde fertilite korumak ve tubayı kurtarmak için cerrahi tedavi geciktirilmemelidir.
Anahtar Kelimeler
Kaynakça
- Cuillier F, Harper L, Birsan A. Fallopian tube torsion: Five cases with no other element. J Gynecol Obstet Biol Reprod 2002; 31: 755-64.
- Hansen O. Isolated torsion of the fallopian tube. Acta Obstet Gynecol Scand 1970; 49: 3.
- Bernardus RE, van der Slikke JW, Roex AJM, Dijkhuizen GH, Stolk JG. Torsion of the fallopian tube: Some considerations on its etiology. Obstet Gynecol 1984; 64: 675-7.
- Dueholm M, Praest J. Isolated torsion of the normal fallopian tube: Case report. Acta Obstet Gynecol Scand 1987; 66: 89-90.
- Droegemueller W. Benign gynecologic lesions. In: Baxter S, editor. Comprehensive Gynecology. 3rd ed. St. Louis: Mosby-Year Book, Inc; 1997; 467-5
- Varras M, Tsikini A, Polyzos D, Samara Ch, Hadjopoulos G,Akrivis C. Uterine adnexal torsion: Pathologic and gray-scale ultrasonographic findings. Clin Exp Obstet Gynecol 2004; 31: 34-8.
- Rizk DE, Lakshminarasimha B, Joshi S. Torsion of the fallopian tube in an adolescent female: A case report. J Pediatr Adolesc Gynecol 2002; 15: 159-61. Ho PL, Liang SJ, Su HW, Chang CY, Hsu CS, Ling TH. Isolated torsion of the fallopian tube: A rare diagnosis in an adolescent without sexual experience. Taiwan J Obstet Gynecol 2008; 47: 235-7.
- Krissi H, Shalev J, Bar-Hava I, Langer R, Herman A, Kaplan B.Fallopian tube torsion: Laparoscopic evaluation and treatment of a rare gynecological entity. J Am Board Fam Pract 2001; 14: 274-7.
- Filtenborg TA, Hertz JB. Torsion of the fallopian tube. Eur J Obstet Gynecol Reprod Biol 1981; 12: 177.
- Ghossain MA, Buy JN, Bazot M, Haddad S, Guinet C, Malbec L. CT in adnexal torsion with emphasis on tubal findings: Correlation with ultrasound. J Comput Assist Tomogr 1994; 18: 619-25.
Öz
Abstract
Isolated fallopian tube torsion is an uncommon cause of acute low abdominal pain in women. We present a case of 18-year-old virgin girl with isolated right fallopian tube torsion. She was admitted to the Emergency Department of our hospital with abdominal pain. Pelvic ultrasound revealed bilateral enlarged ovaries containig 4 cm and 3 cm cystic masses and some free fluid in the pouch of Douglas. An urgent laparoscopy was performed by a general surgeon. They revealed a dusky blue twisted right hydrosalpinx with a twist of the long axis of a necrotic right fallopian tube. Laparotomy was performed due to restrictions of laparoscopy in detorsion of the pelvic mass. A right salpingectomy was performed subsequently. In conclusion; surgical treatment should not be delayed for salvage the tube and preserve fertility in suspicion of tubal torsion.
Keywords: Abdominal pain, fallopian tube, laparoscopy, salpingectomy
Anahtar Kelimeler
Kaynakça
- Cuillier F, Harper L, Birsan A. Fallopian tube torsion: Five cases with no other element. J Gynecol Obstet Biol Reprod 2002; 31: 755-64.
- Hansen O. Isolated torsion of the fallopian tube. Acta Obstet Gynecol Scand 1970; 49: 3.
- Bernardus RE, van der Slikke JW, Roex AJM, Dijkhuizen GH, Stolk JG. Torsion of the fallopian tube: Some considerations on its etiology. Obstet Gynecol 1984; 64: 675-7.
- Dueholm M, Praest J. Isolated torsion of the normal fallopian tube: Case report. Acta Obstet Gynecol Scand 1987; 66: 89-90.
- Droegemueller W. Benign gynecologic lesions. In: Baxter S, editor. Comprehensive Gynecology. 3rd ed. St. Louis: Mosby-Year Book, Inc; 1997; 467-5
- Varras M, Tsikini A, Polyzos D, Samara Ch, Hadjopoulos G,Akrivis C. Uterine adnexal torsion: Pathologic and gray-scale ultrasonographic findings. Clin Exp Obstet Gynecol 2004; 31: 34-8.
- Rizk DE, Lakshminarasimha B, Joshi S. Torsion of the fallopian tube in an adolescent female: A case report. J Pediatr Adolesc Gynecol 2002; 15: 159-61. Ho PL, Liang SJ, Su HW, Chang CY, Hsu CS, Ling TH. Isolated torsion of the fallopian tube: A rare diagnosis in an adolescent without sexual experience. Taiwan J Obstet Gynecol 2008; 47: 235-7.
- Krissi H, Shalev J, Bar-Hava I, Langer R, Herman A, Kaplan B.Fallopian tube torsion: Laparoscopic evaluation and treatment of a rare gynecological entity. J Am Board Fam Pract 2001; 14: 274-7.
- Filtenborg TA, Hertz JB. Torsion of the fallopian tube. Eur J Obstet Gynecol Reprod Biol 1981; 12: 177.
- Ghossain MA, Buy JN, Bazot M, Haddad S, Guinet C, Malbec L. CT in adnexal torsion with emphasis on tubal findings: Correlation with ultrasound. J Comput Assist Tomogr 1994; 18: 619-25.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 14 Şubat 2014 |
| Yayımlandığı Sayı | Yıl 2013Cilt: 35 Sayı 4 (2013): Supplement |