Isolated torsion of fallopian tube in a premenarcheal 12-year-old girl

被引:29
作者
Goktolga, Umit
Ceyhan, Temel
Ozturk, Haluk
Gungor, Sadettin
Zeybek, Nazif
Keskin, Ugur
Ciftpinar, Tolga
Baser, Iskender
机构
[1] Gulhane Mil Med Acad, Dept Obstet & Gynecol, Ankara, Turkey
[2] Gulhane Mil Med Acad, Dept Pediat Surg, Ankara, Turkey
[3] Gulhane Mil Med Acad, Dept Gen Surg, Ankara, Turkey
[4] Hacettepe Univ, Sch Med, Ankara, Turkey
关键词
fallopian tube; premenarche; torsion;
D O I
10.1111/j.1447-0756.2007.00502.x
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Isolated torsion of fallopian tubes should be considered even at premenarcheal ages in cases of acute pelvic pain, and prompt surgery can preserve the tube and thus fertility. It is an uncommon emergency event and a difficult condition to evaluate clinically. This report focuses on a 12-year-old premenarcheal girl who presented with acute pelvic pain of 2 days. Pelvic ultrasound showed an adnexal mass on the left side. Laparoscopy was performed and an isolated tubal torsion was discovered. The tube was necrotic and salpingectomy was performed. The appendix appeared to be hyperemic and erectile. Appendectomy was also performed to rule out appendicitis. It's our recommendation that in the differential diagnosis of acute lower abdominal pain of girls, isolated torsion of the fallopian tubes should be considered. Also, preservation of the tube and fertility should be possible with prompt surgical intervention.
引用
收藏
页码:215 / 217
页数:3
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