Single Port Laparoscopic Surgery For Isolated Tubal Torsion in a Prepubertal Girl

Öz

Isolated torsion of fallopian tubes should be considered even at premenarcheal ages in cases of acute pelvic pain. It is an uncommon emergency event and a difficult condition to evaluate clinically. This report focuses on an 11-year-old premenarcheal girl who presented with acute pelvic pain of one day. An isolated necrotic tubal torsion was discovered and salpingectomy was performed with single port laparoscopic surgery. Single port laparoscopic surgery for a relatively large mass seems to be a useful minimally invasive alternative to the standard multiport laparoscopic approach.

Anahtar Kelimeler

• Tubal torsion,single port laparoscopic surgery

İzole Tuba Torsiyonu Olan Bir Prepubertal Kızda Tek Port Laparoskopik Cerrahi

Öz

Akut pelvik ağrı şikayetiyle başvuran bir hasta premenarşial yaşta dahi olsa izole tuba torsiyonu mutlaka akla getirilmelidir. Çok nadiren görülen bu vakalarda klinik olarak tanı koymak oldukça zordur. Bu yazıda bir gün boyunca pelvik ağrısı olan 11 yaşındaki premenarşial kız olgu sunulmuştur. Hastaya tek port laparoskopik cerrahi uygulandığında izole nerotik tubal torsiyon olduğu görüldü ve salpenjektomi uygulandı. Tek port laparoskopik cerrahi göreceli olarak daha büyük kitleleri çıkarmak için multiport laparoskopik yaklaşıma göre daha kullanışlı ve daha az invaziv bir tekniktir.

Anahtar Kelimeler

• Tubal torsiyon,tek port laparoskopik cerrahi

Kaynakça

1. 1. Shukla R. Isolated torsion of the hydrosalpinx: a rare presentation. Br J Radiol 2004; 77:784 –786.
2. 2. Antoniou N, Varras M, Akrivis C, Kitsiou E, Stefanaki S, Salama lekis E . Isolated torsion of the fallopian tube: a case report and review of the literature. Clinical and Experimental Obstetrics & Gy necology 2004; 31:235-238.
3. 3. Lo LM, Chang SD, Lee CL, Liang CC. Clinical manifestations in women with isolated fallopian tubal torsion; a rare but important entity. Aust N Z J Obstet Gynaecol 2011; 51:244-7.
4. 4. Vijayaraghavan SB, Senthil S Isolated torsion of the fallopian tube: the sonographic whirlpool sign. J Ultrasound Med 2009; 28:657– 662
5. 5. Gunderson CC, Knight J, Ybanez-Morano J, Ritter C, Escobar PF, Ibeanu O, et al. The risk of umbilical hernia and other complications with laparoendoscopic single-site surgery. J Minim Invasive Gynecol 2012; 19:40-5.