Adnexal Torsion After Isolated Salpingeal Torsion: an Undesired Complication of Conservative Management-A Case Report
Objective: Isolated salpingeal torsion (IST) is a rare cause of acute abdomen in women of the reproductive age group. The lack of pathognomonic clinical, laboratory or radiographic findings makes early diagnosis a challenge. We describe a case of IST in a 13-year-old who suffered from a repeat torsi...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Tehran University of Medical Sciences
2020-07-01
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| Series: | Journal of Family and Reproductive Health |
| Subjects: | |
| Online Access: | https://jfrh.tums.ac.ir/index.php/jfrh/article/view/1207 |
| Summary: | Objective: Isolated salpingeal torsion (IST) is a rare cause of acute abdomen in women of the
reproductive age group. The lack of pathognomonic clinical, laboratory or radiographic findings makes
early diagnosis a challenge. We describe a case of IST in a 13-year-old who suffered from a repeat
torsion following initial conservative management.
Case Report: A 13-year-old girl presented with acute right lower quadrant abdominal pain of insidious
onset. Her past medical history was non-contributory and her initial workup was unremarkable.
Exploratory laparoscopy subsequently revealed isolated torsion of the right fallopian tube which was
detorted. She presented 10 months later with similar complaints and further workup demonstrated right
adnexal torsion which was confirmed by laparoscopy; salpingo-oophorectomy was necessary due to
gangrenous necrosis.
Conclusion: Conservative management of fallopian tube torsion confers the advantage of fertility
preservation but the risk of repeat torsion remains clinically significant. |
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| ISSN: | 1735-8949 1735-9392 |