A rare cause of acute abdominal pain in adolescence: Hydrosalpinx leading to isolated torsion of fallopian tube

Autor: Z. Safinur Nazli, I. Onur Özen, G. Kaan Atac, Arzu Pampal, Tansu Sipahi
Rok vydání: 2012
Předmět:
Torsion Abnormality
medicine.medical_specialty
Abdominal pain
animal structures
Adolescent
medicine.medical_treatment
Physical examination
Constriction
Pathologic
Risk Assessment
Severity of Illness Index
Salpingitis
Salpingectomy
Rare Diseases
otorhinolaryngologic diseases
medicine
Humans
Physical Examination
Fallopian Tubes
Hydrosalpinx
medicine.diagnostic_test
urogenital system
business.industry
Torsion (gastropod)
Ultrasonography
Doppler
Magnetic resonance imaging
General Medicine
Rectal examination
medicine.disease
Magnetic Resonance Imaging
female genital diseases and pregnancy complications
Abdominal Pain
Surgery
body regions
Treatment Outcome
medicine.anatomical_structure
Pediatrics
Perinatology and Child Health
Female
medicine.symptom
Emergency Service
Hospital
business
Follow-Up Studies
Fallopian tube
Zdroj: Journal of Pediatric Surgery. 47:e31-e34
ISSN: 0022-3468
DOI: 10.1016/j.jpedsurg.2012.08.040
Popis: Torsion of the fallopian tube accompanying hydrosalpinx is a rare occurrence in the pediatric population. This report describes a 13 year old sexually inactive girl with isolated tubal torsion due to hydrosalpinx. The girl had lower left abdominal pain for two days. The physical examination revealed left lower quadrant tenderness with a firm round anterior mass on rectal examination. Abdominal ultrasound showed left tubal enlargement with free pelvic peritoneal fluid. Magnetic Resonance Imaging (MRI) showed engorgement and dilatation of the left fallopian tube without contrast enhancement suspicious of tubal torsion. At operation, torsion of the left tube on its longitudinal axis was observed, and a salpingectomy was performed. Although rare, the diagnosis of torsion of the fallopian tube should be considered when evaluating acute abdominal pain. The earlier tubal torsion is diagnosed, the greater the likelihood of salvaging the fallopian tube.
Databáze: OpenAIRE
Externí odkaz: