Post Menopozal Over Torsiyonu Olgu Sunumu

Year 2007, Volume: 1 Issue: 2, 41 - 43, 15.07.2007

Mustafa Uzun

Abstract

Adneksiyel torsiyon nadir görülen jinekolojik acil durumlardan biridir. Akut alt abdominal ağrı varlığında mutlaka göz önünde bulundurulmalıdır. Kliniğimize abdominal alt kadran ağrısı ile başvuran 78 yaşındaki postmenopozal hastanın yapılan muayene ve ultrasonografik değerlendirmesinde sol adneksiyel alanda solid kitle saptandı. Over malignitesi ön tanısı ile opere edilen olguda sol over ve tubayı içine alan adneksiyel torsiyon saptanması üzerine hastaya postmenopozal dönemde olduğu için total abdominal histerektomi ve bilateral salpingooferektomi uygulandı.

Abstract
Adnexal torsion is a rarely seen gynecologic emergency condition. It should always be considered in exsistance of acute lower abdominal pain. A 78 year old postmenopausal woman with lower
acute abdominal pain was admitted to our hospital's emergency service. After physical examination and ultrasound assessment a solid mass in the left adnexal area was determined. The patient
prediagnosed as ovarian malignancy and operated. Intraoperatively adnexal torsion including ovary and fallopian tube was detected. Because the patient was a postmenopausal woman total abdominal hysterectomy and bilateral salpingooferectomy was performed.

Keywords

Adneks, torsiyon, postmenopoz

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