Fallopian tube autoamputation after acute large endometrioma torsion
Adnexal torsion is the fifth most common gynecological emergency. However, endometrioma torsion is a very rare entity due to the associated pelvic adhesions. A 26-year-old woman presented to the emergency department complaining of acute lower abdominal pain for the past 6 h. Physical examination sho...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Gynecology and Minimally Invasive Therapy |
| Subjects: | |
| Online Access: | http://www.e-gmit.com/article.asp?issn=2213-3070;year=2022;volume=11;issue=2;spage=124;epage=126;aulast=Atileh |
| _version_ | 1818238074841202688 |
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| author | Luay Ibrahim Abu Atileh Nouf Moh'd Khalifeh |
| author_facet | Luay Ibrahim Abu Atileh Nouf Moh'd Khalifeh |
| author_sort | Luay Ibrahim Abu Atileh |
| collection | DOAJ |
| description | Adnexal torsion is the fifth most common gynecological emergency. However, endometrioma torsion is a very rare entity due to the associated pelvic adhesions. A 26-year-old woman presented to the emergency department complaining of acute lower abdominal pain for the past 6 h. Physical examination showed localized left iliac fossa tenderness. Ultrasound showed a 13 cm endometrioma with a normal color Doppler. Laparoscopy revealed a 13 cm large endometrioma arising from the left ovary. The left Fallopian tube was amputated at its attachment to the left cornua. Reconstruction of the ovary was done and the specimen was retrieved through the umbilicus inside a bag. Autoamputation of the Fallopian tube alone, although very rare, is typically associated with a preceding torsion. It is critical to be aware of adnexal torsion, as it can have implications for future fertility. Therefore, laparoscopic detorsion and cystectomy are the gold standard management. |
| first_indexed | 2024-12-12T12:35:53Z |
| format | Article |
| id | doaj.art-cda6a8b4e24347a1b192a076ac5ef071 |
| institution | Directory Open Access Journal |
| issn | 2213-3070 |
| language | English |
| last_indexed | 2024-12-12T12:35:53Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Gynecology and Minimally Invasive Therapy |
| spelling | doaj.art-cda6a8b4e24347a1b192a076ac5ef0712022-12-22T00:24:20ZengWolters Kluwer Medknow PublicationsGynecology and Minimally Invasive Therapy2213-30702022-01-0111212412610.4103/gmit.gmit_41_21Fallopian tube autoamputation after acute large endometrioma torsionLuay Ibrahim Abu AtilehNouf Moh'd KhalifehAdnexal torsion is the fifth most common gynecological emergency. However, endometrioma torsion is a very rare entity due to the associated pelvic adhesions. A 26-year-old woman presented to the emergency department complaining of acute lower abdominal pain for the past 6 h. Physical examination showed localized left iliac fossa tenderness. Ultrasound showed a 13 cm endometrioma with a normal color Doppler. Laparoscopy revealed a 13 cm large endometrioma arising from the left ovary. The left Fallopian tube was amputated at its attachment to the left cornua. Reconstruction of the ovary was done and the specimen was retrieved through the umbilicus inside a bag. Autoamputation of the Fallopian tube alone, although very rare, is typically associated with a preceding torsion. It is critical to be aware of adnexal torsion, as it can have implications for future fertility. Therefore, laparoscopic detorsion and cystectomy are the gold standard management.http://www.e-gmit.com/article.asp?issn=2213-3070;year=2022;volume=11;issue=2;spage=124;epage=126;aulast=Atilehautoamputationfallopian tubesfertilitylaparoscopyovary |
| spellingShingle | Luay Ibrahim Abu Atileh Nouf Moh'd Khalifeh Fallopian tube autoamputation after acute large endometrioma torsion Gynecology and Minimally Invasive Therapy autoamputation fallopian tubes fertility laparoscopy ovary |
| title | Fallopian tube autoamputation after acute large endometrioma torsion |
| title_full | Fallopian tube autoamputation after acute large endometrioma torsion |
| title_fullStr | Fallopian tube autoamputation after acute large endometrioma torsion |
| title_full_unstemmed | Fallopian tube autoamputation after acute large endometrioma torsion |
| title_short | Fallopian tube autoamputation after acute large endometrioma torsion |
| title_sort | fallopian tube autoamputation after acute large endometrioma torsion |
| topic | autoamputation fallopian tubes fertility laparoscopy ovary |
| url | http://www.e-gmit.com/article.asp?issn=2213-3070;year=2022;volume=11;issue=2;spage=124;epage=126;aulast=Atileh |
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