ISOLATED TORSION OF A TUBAL ECTOPIC PREGNANCY: MUST BE KEPT IN MIND

Yıl 2017, Cilt: 2 Sayı: 1, 10 - 13, 03.06.2017

Mustafa Demir Bulat Aytek Şık Mert Ulaş Barut Mehmet Ağar Sinan Karageçili Orhan Binici Murat Bozkurt Bülent Yılmaz Ayşe Ender Yumru

https://doi.org/10.23884/ijhsrp.2017.2.1.02

Cited By: 1

Öz

Isolated
fallopian tube torsion without involvement of the ovary is a rare condition
most frequently presenting during reproductive years. The majority of the
diagnoses are made on the operating table. We describe a case of isolated tubal
torsion, unique in that localized necrosis and inflammation from the torsion. Its
common symptoms are lower abdominal pain, vomiting, and nausea. Because these
symptoms are nonspecific, isolated torsion of a fallopian tube may be
misdiagnosed, delaying treatment and the opportunity to preserve the tube. The
ultrasound-assisted examination was useful, but the specific diagnosis was made
after laparotomy and histopathology.

Laparotomy
and laparoscopy are important tools in the diagnosis and prognosis of isolated
torsion of a fallopian tube, and can help to preserve the fertility of these
patients.

Anahtar Kelimeler

Isolated tubal torsion, tubal ectopic pregnancy, ectopic pregnancy, gynaecologic emergency, laparatomy, diagnostic laparoscopy

Kaynakça

• [1] Barnhart KT. Clinical practice: Ectopic pregnancy. N. Engl. J. Med. 2009;361: 379–87.
• [2] Goktolga U, Ceyhan T, Ozturk H, Gungor S, Zeybek N, Keskin U, et al. Isolated torsion of fallopian tube in a premenarcheal 12-year-old girl. J. Obstet. Gynaecol. Res. 2007. Apr;33(2):215-217 10.1111/j.1447-0756.2007.00502.
• [3] Batukan C, Ozgun MT, Turkyilmaz C, Tayyar M. Isolated torsion of the fallopian tube during pregnancy: a case report. J. Reprod. Med. 2007. Aug;52(8):745-747 [4] Shukla R., Isolated torsion of the hydrosalpinx: a rare presentation. Br. J. Radiol. 2004. Sep;77(921):784-786 10.1259/bjr/36288287
• [5] Bernardus RE, Van der Slikke JW, Roex AJ, Dijkhuizen GH, Stolk JG., Torsion of the fallopian tube: Some considerations on its etiology. Obstet. Gynecol. 1984. Nov;64(5):675-678
• [6] Krissi H, Orvieto R, Dicker D, Dekel A, Ben Rafael Z., Torsion of a fallopian tube following Pomeroy tubal ligation: A rare case report and review of the literature. Eur. J. Obstet. Reprod. Biol. 1997;72:107-109 .10.1016/S0301-2115(96)02656-5
• [7] Sharp HT., The acute abdomen during pregnancy. Clin. Obstet. Gynecol. 2002;45:405–13.
• [8] Hansen OH. Isolated torsion of the fallopian tube. Acta Obstet. Gynecol. Scand. 1970;49:3–6
• [9] Bozkurt M, Kara D., Isolated torsion of the fallopıan tube in a postmenopausal woman; a rare entity. Proc. Obstet. Gynecol. 2013 Jul 03;3(2):Article 6 [7 p.]. Available from: http://ir.uiowa.edu/pog/vol3/iss2/6 Free full text article.
• [10] Schraga E., Ovarian torsion. eMedline Specialities, Emergency Medicine, Obstetrics and Gynaecology, 2009.