Öz
Rebound, defansı olmayan sol alt kadran ağrısı olan 29 yaşındaki kadın hastaneye yatırıldı. Pelvik muayenesinde sol forniks komşuluğunda ağrılı, yarı mobil, yarı sert 6 cm çapında kitle palpe edildi. Medikal öyküsünde 2 ay önce bipolar koter ile laparoskopik tuba ligasyonu haricinde bir özellik yoktu. 48 saat medikal tedavi sonrası laparoskopi yapıldı. Rahim ve yumurtalıklar normal görünümdeydi. Sol tüpün distal bölümü mezosalpinks etrafında 3 kez dolanmıştı ve gangrenli, nekrotik görülüyordu. Sol parsiyel salpinjektomi yapıldı. Ameliyattan 8 saat sonra kadın taburcu edildi. Patoloji dilate tüpün torsiyonunu teyid etti.
Anahtar Kelimeler
Kaynakça
- 1. Hibbard L T. Adnexal torsion. Am J Obstet Gynecol 1985; 152: 456– 61.
- 2. Hansen OH. Isolated torsion of the Fallopian tube. Acta Obstet Gynecol Scand 1970; 49:3-6. doi : 10.3109/00016347009157506
- 3. Phupong V, Intharasakda P. Twisted fallopian tube: a case report. BMC Pregnancy and Childbirth 2001; 1:5. doi:10.1186/1471-2393- 1-5
- 4 Shapiro HI, Hughes WF, Adler DH. Torsion of the oviduct following laparoscopic sterilization.Am J Obstet Gynecol 1976; 15:733-4.
- 5. Yankaskas BC, Kerner TC, Cuttino JT, Clark RL. Post ligation dilatation of fallopian tube. Invest Radiol 1992; 27: 578-82.
- 6. Gerald CK. Torsion of uterine tube following Pomeroy sterilization. Obstet Gynecol 1956; 7: 396-8. doi:10.1016/S0301-2115(96)02656-5
- 7. Muldoon MJ.Gynecological illness after sterilization. BMJ 1972; 1: 84-5. doi: 10.1136/bmj.1.5792.84
- 8. Williams EL, James HG, Merrill RE. The subsequent course of patients sterilizied by tubal ligation. Am J Obstet Gynecol 1951; 61: 423-7.
- 9. Huggins GR, Sondheimer SJ. Complications of female sterilization:immedite and delayed. Fertil Steril 1984; 41: 337-55.
- 10. Peterson HB, Jeng G, Folger SG, et al.The risk of menstrual abnormalities after tubal sterilization.N Eng J Med 2000;343:1681-7. doi: 10.1056/NEJM200012073432303
- 11. Peterson HB, Xia Z, Hughes JM, Wilcox LS, Tylor LR, Trussell J. The risk of pregnancy after tubal sterilization: Findings from the U.S. Collaborative Review of Sterilization. Am J Obstet Gynecol 1996;174:1161–8.
Öz
A 29-year-old woman with tenderness in the left lower quadrant of the abdomen with no guarding or rebound tenderness was admitted to the hospital. Her pelvic examination revealed a tender, semi-mobile and semi-solid mass, 6 cm in diameter, just palpable adjacent to the left fornix. Her medical history was otherwise normal except that she had had laparoscopic tubal ligation by bipolar cauterization two months earlier. After 48 hours of medical treatment, laparoscopy was performed. The uterus and both ovaries appeared normal. The distal portion of the left tube remnant was twisted three times on its mesosalpinx and appeared gangrenous and necrotic. A left partial salpingectomy was done laparoscopically. The woman was discharged after 8 hours from the hospital. The pathology confirmed the diagnosis of torsion of a previously dilated tube
Anahtar Kelimeler
Kaynakça
- 1. Hibbard L T. Adnexal torsion. Am J Obstet Gynecol 1985; 152: 456– 61.
- 2. Hansen OH. Isolated torsion of the Fallopian tube. Acta Obstet Gynecol Scand 1970; 49:3-6. doi : 10.3109/00016347009157506
- 3. Phupong V, Intharasakda P. Twisted fallopian tube: a case report. BMC Pregnancy and Childbirth 2001; 1:5. doi:10.1186/1471-2393- 1-5
- 4 Shapiro HI, Hughes WF, Adler DH. Torsion of the oviduct following laparoscopic sterilization.Am J Obstet Gynecol 1976; 15:733-4.
- 5. Yankaskas BC, Kerner TC, Cuttino JT, Clark RL. Post ligation dilatation of fallopian tube. Invest Radiol 1992; 27: 578-82.
- 6. Gerald CK. Torsion of uterine tube following Pomeroy sterilization. Obstet Gynecol 1956; 7: 396-8. doi:10.1016/S0301-2115(96)02656-5
- 7. Muldoon MJ.Gynecological illness after sterilization. BMJ 1972; 1: 84-5. doi: 10.1136/bmj.1.5792.84
- 8. Williams EL, James HG, Merrill RE. The subsequent course of patients sterilizied by tubal ligation. Am J Obstet Gynecol 1951; 61: 423-7.
- 9. Huggins GR, Sondheimer SJ. Complications of female sterilization:immedite and delayed. Fertil Steril 1984; 41: 337-55.
- 10. Peterson HB, Jeng G, Folger SG, et al.The risk of menstrual abnormalities after tubal sterilization.N Eng J Med 2000;343:1681-7. doi: 10.1056/NEJM200012073432303
- 11. Peterson HB, Xia Z, Hughes JM, Wilcox LS, Tylor LR, Trussell J. The risk of pregnancy after tubal sterilization: Findings from the U.S. Collaborative Review of Sterilization. Am J Obstet Gynecol 1996;174:1161–8.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Ekim 2015 |
| Yayımlandığı Sayı | Yıl 2013 Cilt: 26 Sayı: 2 |