Paraovaryan Seroz Kistadenomu ile İlişkili İsole Tubal Torsiyon: Olgu Sunumu

Year 2014, Volume: 15 Issue: 2, 177 - 180, 01.08.2014

Ömer Demirtaş Gülşah Demirtaş Emre Gültekin Bülent Yeşilyurt

Abstract

Torsion of adnexa is relatively common, but isolated fallopian tube torsion is rare. It is a difŞcult condition to evaluate clinically and surgery is often necessary to establish the diagnosis. A 18-year-old adolescent was presented with onset of left quadrant lower abdominal pain ten hours ago. Transabdominal sonography revealed a 6 cm cystic mass in the left adnexa. She was suspected for torsion of the cyst and surgical intervention was suggested. There was a paraovarial cyct adjacent to the tube. We performed cystectomy immediately. We didn’t perform salpingectomy for tubal salvage. Tubal conservation should be favored when possible

Keywords

Isolated tubal torsion; acute pelvic pain; treatment

Paraovaryan Seroz Kistadenomu ile İlişkili İsole Tubal Torsiyon: Olgu Sunumu

Abstract

Adneksial torsion sık görünmekle beraber isole tubal torsion nadirdir. Klinik olarak değerlendirmek zordur ve sıklıkla cerrahi esansında tanı kesinleştirilir. 18 yaşında genç hasta 10 saat önce başlayan sol alt kadran ağrısı ile başvurdu. Abdominal ultrasonografi ile solda 6 cm kist tespit edildi. Kist torsiyonu olduğundan şüphelenilen hastaya cerrahi uygulandı. Tubaya bitişik paraovarial kist tespit edildi. Hemen kistektomi yapıldı. Tubayı korumak için salpenjektomi yapılmadı. Genç hastalarda mümkünse tuba korunmalıdır

Keywords

İzole tubal torsiyon; akut pelvik ağrı; tedavi

References

• Orazi C, Inserra A, Lucchetti MC, Schingo PM. Isolated tubal torsion: a rare cause of pelvic pain at menarche. Sonographic and MR findings. Pediatr Radiol 2006;36(12):1316-8.
• Gross M, Blumstein SL, Chow L. Isolated fallopian tube torsion: a rare twist on a common theme. AJR Am J Roentgenol 2005;185(6):1590–2.
• Barisic D, Bagovic D. Bilateral tubal torsion treated by laparoscopy: a case report. European Journal of Obstetrics & Gynecology and Reproductive Biology 1999;86(1):99–100.
• Boukaidi SA, Delotte J, Steyaert H, et al. Thirteen cases of isolated tubal torsions associated with hydrosalpinx in children and adolescents, proposal for conservative management: retrospective review and literature survey. Journal of Pediatric Surgery 2011;46(7):1425–31.
• Ho P, Liang S, Su H, et al. Isolated torsion of the fallopian tube: a rare diagnosis in an adolescent without sexual experience. Taiwan J Obstet Gynecol 2008;47(2):235-7.
• Wang PH, Yuan CC, Chao HT, et al. Isolated tubal torsion managed laparoscopically. J Am Assoc Gynecol Laparosc 2000;7(3):423–7.
• Ullal A, Kollipara PJ. Torsion of a hydrosalpinx in an 18-year-old 1999;193(3):331. J virgin. Obstet Gynaecol
• Milki A, Jacobson DH. Isolated torsion of the fallopian tube. A case report. J Reprod Med 1998;43(9):836–8.
• Bernardus RE, Slikke JW, Roex AJ, et al. Torsion of the fallopian tube: some considerations on its etiology. Obstet Gynecol 1984;64(5):675–8.
• Shukla R. Isolated torsion of the hydrosalpinx: a rare presentation. Br J Radiol 2004;77(921):784-6.
• Benjaminov O, Atri M. Sonography of the abnormal fallopian tube. Am J Roentgenol 2004;183(3):737–42.
• Timor-Tritsch IE, Lerner JP, Monteagudo A, et al. Transvaginal inflammatory disease. Ultrasound Obstet Gynecol 1998;12(1):56–66. markers of tubal
• Baumgartel PB, Fleischer AC, Cullinan JA, et al. Color doppler sonography of tubal torsion. Ultrasound Obstet Gynecol 1996;7(5):367–70.
• Vijayaraghavan SB, Senthil S. Isolated torsion of the fallopian tube: the sonographic whirlpool sign. J Ultrasound Med 2009;28(5):657–62.
• Patel MD, Acord DL, Young SW. Likelihood ratio of sonographic Şndings in discriminating hydrosalpinx from other adnexal masses. Am J Roentgenol 2006;186(4):1033–8.
• Ferrera PC, Kass LE, Verdile VP. Torsion of the fallopian tube. Am J Emerg Med 1995;13(3):312–4.
• Logsdon VK. Common problems in pediatric and adolescent gynecologic surgery. Curr Opin Obstet Gynecol 2001;13(5):453–8.
• Chen M, Chen CD, Yang YS. Torsion of the previously normal uterine adnexa. Evaluation of the correlation between the pathological changes and the clinical characteristics. Acta Obstet Gynecol Scand 2001;80(1):58–61.
• Ozgum MT, Batukan C. Isolated torsion of Fallopian tube in a poslmenopausal patient: a case report. Maluritas 2007;57(3):325-7.