Laparoscopic salpingectomy for an isolated case of left fallopian tube torsion in a premenarcheal 13 years old
| Autor: | Sushil Kumar, Sonam Jadhav, Abhishek Mangeshikar, Annabelle Sabu Vadukkut |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Abdominal pain animal structures laparoscopic salpingectomy Case Report lcsh:Gynecology and obstetrics Medicine Fertility preservation Laparoscopy isolated left fallopian tube torsion lcsh:RG1-991 Hydrosalpinx medicine.diagnostic_test business.industry Torsion (gastropod) Laparoscopic salpingectomy Obstetrics and Gynecology medicine.disease acute abdominal pain Surgery medicine.anatomical_structure Fallopian tube torsion medicine.symptom business premarcheal pelvic pain Fallopian tube |
| Zdroj: | Gynecology and Minimally Invasive Therapy, Vol 9, Iss 4, Pp 245-247 (2020) Gynecology and Minimally Invasive Therapy |
| ISSN: | 2213-3070 |
| DOI: | 10.4103/gmit.gmit_90_18 |
| Popis: | Isolated torsion of the fallopian tube without an ovarian abnormality is an uncommon clinical finding even rarer before menarche and postmenopause, with an incidence of approximately 1 in 1.5 million women. Left fallopian tube torsion is infrequent as compared to right. Here, we report a rare case of a prepubertal girl who presented with acute left abdominal pain. Ultrasound suggested normal ovaries, and a significant left hydrosalpinx and color-Doppler was done, which confirmed signs of left-sided fallopian tube torsion. On laparoscopy, her left fallopian tube was twisted around its axis five times with the signs of necrosis, a laparoscopic salpingectomy was performed. Laparoscopy is the gold standard for the diagnosis and management of this condition. A high index of suspicion is necessary to make an early diagnosis allowing conservative surgical management and hence fertility preservation. |
| Databáze: | OpenAIRE |
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