Isolated Tubal Torsion: A Rare Cause of Acute Pelvic/Abdominal Pain among Adolescent Females
| Autor: | Janoub Kaza'al, Khouloud Demachkie, Amani Mohsen, Mohamad K. Ramadan, Loubna Sinno |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Tubal torsion
subacute pelvic/abdominal pain Abdominal pain Intermittent pain medicine.medical_specialty 050402 sociology laparoscopy Case Report lcsh:Gynecology and obstetrics 03 medical and health sciences 0302 clinical medicine 0504 sociology Medicine In patient Isolated tubal torsion Laparoscopy lcsh:RG1-991 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry 05 social sciences Obstetrics and Gynecology Surgery Adnexal torsion Blood supply medicine.symptom business Pelvic abdominal pain |
| Zdroj: | Gynecology and Minimally Invasive Therapy Gynecology and Minimally Invasive Therapy, Vol 9, Iss 4, Pp 241-244 (2020) |
| ISSN: | 2213-3089 2213-3070 |
| Popis: | Tubal torsion usually occurs as a part of adnexal torsion that affects an ovary and the adjacent tube; however, isolated tubal torsion is an extremely rare condition. Usually, it presents as acute pelvic/abdominal pain but could also exhibit milder intermittent pain alternating with periods of relief (subacute). This condition has seldom been diagnosed preoperative and commonly results in tubal damage due to delayed management. We hereby, report the findings of two cases managed recently at our center. In both cases, the diagnosis was delayed 2-3 days and was only made intraoperative when the tubes could not be salvaged due to extensive necrosis. The extent of tubal damage is predominantly dependent on the duration of vascular insult; hence, the urgency for affecting early diagnosis and intervention to restore blood supply and preserve tubal integrity and function. We advocate the liberal and early use of laparoscopy in patients presenting with subacute unexplained pelvic/abdominal pain. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|