Öz
Adneksiyel torsiyon rölatif olarak sık rastlanan bir olgu olsa da, tubarıın izole torsiyonu 1,5 milyonda bir insidansla oldukça nadir görülmektedir. Alt karın ağrısı, bulantı ve kusma şikayetleri ile başvuran hastalarda ön tanıda düşünülmeyen tubal torsiyon, tubanın nekrozuna yol açmakta ve fertiliteyi etkilemektedir. Erken dönemde konulacak tanı tubal hasarı önleyecek olan, tubal detorsiyon operasyonuna olanak sağlayacaktır. Bu nedenle, tubal torsiyon olasılığı alt karın ağrısı ile başvuran, özellikle genç hastalarda akılda bulundurulmalıdır. Bundan dolayı biz de hastanemize başvuran böyle bir olguyu sunmayı amaçladık.
Anahtar Kelimeler
Kaynakça
- 1- Bland-Sutton J. Salpingitis and some of its effects. Lancet. 1890;2:1146-8
- 2- Raziel A, Mordecahai E, Friedler S, Schachter M, Pansky M, Ron-el R. Isolated recurrent torsion of the fallopian tube. Hum Reprod. 1999;14:3000-1
- 3- Origoni M, Cavoretto P, Conti E, Ferrari A. Isolated tubal torsion in pregnancy. Eur J Obstet Gynecol Reprod Biol. 2009:116-20
- 4- Youssef AF, Fayad MM, Shafeek MA. Torsion of the fallopian tube. A clinico-pathological study. Acta Obstet Gynecol Scand. 1962;41:292-309
- 5- Krissi H, Shalev J, Bar-Hava I. Fallopian tube torsion: laparoscopic evaluation and treatment of a rare gynecological entity. J Am Board Fam Pract. 2001;14:274-7
- 6- Breitowicz B, Wiebe BM, Rudnicki M. Torsion of bilateral paramesonepric cysts in young girls. Acta Obstet Gynecol Scand. 2005;84:199-200
- 7- Hibbard LT. Adnexial Torsion. Am J Obstet Gynecol. 1985;152:456-61
- 8- Milki A, Jacobson DH. Isolated torsion of the fallopian tube. A case report. J Reprod Med. 1998;43:836-8
- 9- Lineberry TD, Rodriguez H. Isolated torsion of the fallopian tube in ana adolescent: A case report. J Pediatr Adolesc Gynecol. 2000;13:135-8
- 10- Rha SE, Byun JY, Jung SE, Jung JI, Choi BG, Kim BS, Kim H, Lee JM. CT and MR imaging features of adnexal torsion. Radiographics. 2002;22:283-94
- 11- Comerci G, Colombo FM, Stefanetti M, Grazia G. Isolated Fallopian tube torsion: a rare but important event for women of reproductive age. Fert Steril. 2008;90:1198e23-e25
- 12- Richard HM 3rd, Parsons RB, Broadman KF, Shapiro RS, Yeh HC. Torsion of the fallopian tube: progression of sonographic features. J Clin Ultrasound. 1998;26:374-6
Öz
Even if the torsion of the adnexia is a relatively common phenomenon, isolated torsion of the tube itself is seen very rarely with an incidence of 1 in 1.5 million. Tubal torsion which can not be predicted as a pre-diagnosis in patients who presents with lower abdominal pain, nausea and vomiting, could result in the necrosis of the tube and may affect the fertility. An early diagnosis will give an opportunity to a tubal detorsion operation, which will prevent a subsequent damage of the tube. For this reason, tubal torsion should be kept in mind, especially in young patients who present with lower abdominal pain. As a consequence we aimed to report such a patient who applied to our hospital.
Anahtar Kelimeler
Kaynakça
- 1- Bland-Sutton J. Salpingitis and some of its effects. Lancet. 1890;2:1146-8
- 2- Raziel A, Mordecahai E, Friedler S, Schachter M, Pansky M, Ron-el R. Isolated recurrent torsion of the fallopian tube. Hum Reprod. 1999;14:3000-1
- 3- Origoni M, Cavoretto P, Conti E, Ferrari A. Isolated tubal torsion in pregnancy. Eur J Obstet Gynecol Reprod Biol. 2009:116-20
- 4- Youssef AF, Fayad MM, Shafeek MA. Torsion of the fallopian tube. A clinico-pathological study. Acta Obstet Gynecol Scand. 1962;41:292-309
- 5- Krissi H, Shalev J, Bar-Hava I. Fallopian tube torsion: laparoscopic evaluation and treatment of a rare gynecological entity. J Am Board Fam Pract. 2001;14:274-7
- 6- Breitowicz B, Wiebe BM, Rudnicki M. Torsion of bilateral paramesonepric cysts in young girls. Acta Obstet Gynecol Scand. 2005;84:199-200
- 7- Hibbard LT. Adnexial Torsion. Am J Obstet Gynecol. 1985;152:456-61
- 8- Milki A, Jacobson DH. Isolated torsion of the fallopian tube. A case report. J Reprod Med. 1998;43:836-8
- 9- Lineberry TD, Rodriguez H. Isolated torsion of the fallopian tube in ana adolescent: A case report. J Pediatr Adolesc Gynecol. 2000;13:135-8
- 10- Rha SE, Byun JY, Jung SE, Jung JI, Choi BG, Kim BS, Kim H, Lee JM. CT and MR imaging features of adnexal torsion. Radiographics. 2002;22:283-94
- 11- Comerci G, Colombo FM, Stefanetti M, Grazia G. Isolated Fallopian tube torsion: a rare but important event for women of reproductive age. Fert Steril. 2008;90:1198e23-e25
- 12- Richard HM 3rd, Parsons RB, Broadman KF, Shapiro RS, Yeh HC. Torsion of the fallopian tube: progression of sonographic features. J Clin Ultrasound. 1998;26:374-6
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Nisan 2010 |
| Yayımlandığı Sayı | Yıl 2010 Cilt: 41 Sayı: 3 |