A Rare Cause of Pediatric Acute Abdomen: Isolated Tubal Torsion

Öz

Isolated tubal torsion (ITT) is a rare cause of acute abdomen. Clinically, it has no pathognomic diagnostic sign. In affected cases, radiological imaging findings are supportive of the diagnosis. For reasons of tubal preservation, it is important to bear in mind this rare condition particularly in young patients presenting with acute abdominal pain. In this paper, we aimed to report the clinical features and ultrasonographic (US) and magnetic resonance imaging (MRI) findings of a pediatric patient with ITT that was radiologically diagnosed and confirmed by surgery.

Anahtar Kelimeler

• İsolated tubal torsion
• Magnetic resonance imaging
• Ultrasonography

Kaynakça

1. Referans1 Gaied F, Emil S, Lo A, Baird R, Laberge JM. Laparoscopic treatment of isolated salpingeal torsion in children: case series and a 20-year review of the literature. J Laparoendosc Adv Surg Tech A. 2012; 22: 941-7.
2. Referans2 Güney C, Coskun A. A Fifteen-Year Analysis of Rare Isolated Fallopian Tube Torsions in Adolescent Children: A Case Series. Diagnostics (Basel). 2019 Sep 4; 9(3). pii: E110. DOI: 10.3390/diagnostics9030110.
3. Referans3 Schuh AM, Klein EJ, Allred RJ, Christensen A, Brown JC. Pediatric Adnexal Torsion: Not Just a Postmenarchal Problem. J Emerg Med. 2017; 52: 169-75.
4. Referans4 Webster KW, Scott SM, Huguelet PS. Clinical Predictors of Isolated Tubal Torsion: A Case Series. J Pediatr Adolesc Gynecol. 2017; 30: 578-81.
5. Referans5 Gunal YD, Bahadir GB, Boybeyı O, Cıl AP, Aslan MK. A rare cause of acute abdominal pain in children: Isolated tubal torsion; a case series. Turk J Emerg Med. 2016; 17: 73-6.
6. Referans6 Gross M1, Blumstein SL, Chow LC. Isolated fallopian tube torsion: a rare twist on a common theme. AJR Am J Roentgenol. 2005; 185: 1590-2.
7. Referans7 Varras M, Tsikini A, Polyzos D, Samara Ch, Hadjopoulos G, Akrivis Ch. Uterine adnexal torsion: pathologic and grayscale ultrasonographic findings. Clin Exp Obstet Gynecol 2004; 31: 34-8.
8. Referans8 Sakuragi M, Kido A, Himoto Y, Onishi Y, Togashi K. MRI findings of isolated tubal torsions: case series of 12 patients: MRI findings suggesting isolated tubal torsions, correlating with surgical findings. Clin Imaging. 2017; 41: 28-32.

9. Referans9 Rafi J. Isolated tubal torsion in a fourteen-year-old girl. J Pak Med Assoc. 2011; 61: 603-4.
10. Referans10 Mazouni C, Bretelle F, Menard JP, Blanc B, Gamerre M. Diagnosis of adnexal torsion and predictive factors of adnexal necrosis. Gynecol Obstet Fertil 2005; 33: 102-6.