Isolated torsion of a fallopian tube: an uncommon cause of abdominal pain in an 11-year-old
| Autor: | Inês Gante, Inês Pessanha, Daniela Agostinho David, Victória Leones de Matos |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Torsion Abnormality
Abdominal pain medicine.medical_specialty Adolescent Nausea medicine.medical_treatment Salpingectomy medicine Humans Child Laparoscopy Fallopian Tubes Ultrasonography medicine.diagnostic_test business.industry General Medicine Fallopian Tube Diseases Abdominal Pain Surgery medicine.anatomical_structure Vomiting Female Fallopian tube torsion Differential diagnosis medicine.symptom business Fallopian tube |
| Zdroj: | BMJ Case Reports. 14:e243947 |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2021-243947 |
| Popis: | This report describes a rare case of isolated fallopian tube torsion (IFTT) in a premenarchal 11-year-old girl. The patient presented with subacute abdominal pain, associated with nausea and vomiting. Sonographic findings revealed left tube enlargement with free intraperitoneal fluid. Doppler mapping was not unequivocal. During exploratory laparoscopy, a large pelvic necrotic mass was found to be a twisted left fallopian tube. After detorsion, salpingectomy was performed and the patient recovered promptly, showing no complications 3 months post operation. IFTT should be considered as a differential diagnosis of lower abdominal pain in adolescent girls with normal-appearing ovaries on ultrasound. Conservative management for fertility preservation is the ideal approach. Therefore, avoiding delay in laparoscopy is crucial. |
| Databáze: | OpenAIRE |
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