Isolated Torsion of the Fallopian Tube in a 14-year-old Adolescent
Objective: Torsion of adnexa is relatively common, but isolated torsion of the fallopian tube is rare. It should be considered in all adolescents who present with acute pelvic pain. Laparoscopy or laparotomy is often necessary to establish the diagnosis. This report focuses on a 14-year-old girl wit...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2006-12-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455909602631 |
| _version_ | 1811258937907871744 |
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| author | Hei-Yu Lau Li-Wen Huang Chying-Chyuan Chan Chen-Li Lin Chih-Ping Chen |
| author_facet | Hei-Yu Lau Li-Wen Huang Chying-Chyuan Chan Chen-Li Lin Chih-Ping Chen |
| author_sort | Hei-Yu Lau |
| collection | DOAJ |
| description | Objective: Torsion of adnexa is relatively common, but isolated torsion of the fallopian tube is rare. It should be considered in all adolescents who present with acute pelvic pain. Laparoscopy or laparotomy is often necessary to establish the diagnosis. This report focuses on a 14-year-old girl with isolated tubal torsion who presented with acute pelvic pain.
Case Report: A 14-year-old adolescent was admitted to our hospital because of acute right-sided abdominal pain without vomiting and diarrhea. Pelvic ultrasound showed an adnexal mass. Conservative treatment was given but did not improve her condition. Emergent laparoscopy was performed due to persistent symptoms, which later confirmed the diagnosis of isolated torsion of the fallopian tube. Pathology showed hemosalpinx with necrosis.
Conclusion: Isolated torsion of the fallopian tube is an uncommon event, especially in adolescents. It must be kept in mind whenever a young girl presents with low abdominal pain and pelvic mass on ultrasound. Prompt laparoscopic intervention may allow for early diagnosis, treatment and preservation of the tube if possible. |
| first_indexed | 2024-04-12T18:22:02Z |
| format | Article |
| id | doaj.art-c8f6d293548d44eab9a573a43b2653ff |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-04-12T18:22:02Z |
| publishDate | 2006-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-c8f6d293548d44eab9a573a43b2653ff2022-12-22T03:21:23ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592006-12-0145436336510.1016/S1028-4559(09)60263-1Isolated Torsion of the Fallopian Tube in a 14-year-old AdolescentHei-Yu Lau0Li-Wen Huang1Chying-Chyuan Chan2Chen-Li Lin3Chih-Ping Chen4Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, TaiwanCardinal Tien College of Nursing, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei City Hospital, Zhongxing Branch and Branch for Women and Children, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei City Hospital, Zhongxing Branch and Branch for Women and Children, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, TaiwanObjective: Torsion of adnexa is relatively common, but isolated torsion of the fallopian tube is rare. It should be considered in all adolescents who present with acute pelvic pain. Laparoscopy or laparotomy is often necessary to establish the diagnosis. This report focuses on a 14-year-old girl with isolated tubal torsion who presented with acute pelvic pain. Case Report: A 14-year-old adolescent was admitted to our hospital because of acute right-sided abdominal pain without vomiting and diarrhea. Pelvic ultrasound showed an adnexal mass. Conservative treatment was given but did not improve her condition. Emergent laparoscopy was performed due to persistent symptoms, which later confirmed the diagnosis of isolated torsion of the fallopian tube. Pathology showed hemosalpinx with necrosis. Conclusion: Isolated torsion of the fallopian tube is an uncommon event, especially in adolescents. It must be kept in mind whenever a young girl presents with low abdominal pain and pelvic mass on ultrasound. Prompt laparoscopic intervention may allow for early diagnosis, treatment and preservation of the tube if possible.http://www.sciencedirect.com/science/article/pii/S1028455909602631fallopian tubehemosalpinxlaparoscopytorsion |
| spellingShingle | Hei-Yu Lau Li-Wen Huang Chying-Chyuan Chan Chen-Li Lin Chih-Ping Chen Isolated Torsion of the Fallopian Tube in a 14-year-old Adolescent Taiwanese Journal of Obstetrics & Gynecology fallopian tube hemosalpinx laparoscopy torsion |
| title | Isolated Torsion of the Fallopian Tube in a 14-year-old Adolescent |
| title_full | Isolated Torsion of the Fallopian Tube in a 14-year-old Adolescent |
| title_fullStr | Isolated Torsion of the Fallopian Tube in a 14-year-old Adolescent |
| title_full_unstemmed | Isolated Torsion of the Fallopian Tube in a 14-year-old Adolescent |
| title_short | Isolated Torsion of the Fallopian Tube in a 14-year-old Adolescent |
| title_sort | isolated torsion of the fallopian tube in a 14 year old adolescent |
| topic | fallopian tube hemosalpinx laparoscopy torsion |
| url | http://www.sciencedirect.com/science/article/pii/S1028455909602631 |
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