Aseel Almandeel , Heba Abu Saleem , Nouar Elzewawi , Lamya Al Anazi , Bedayah Al Anazi
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引用次数: 0
摘要
孤立性输卵管扭转(IFTT)是女性急性下腹痛的罕见原因。其非特异性临床表现使得术前诊断更具挑战性。腹腔镜检查是诊断和治疗的金标准。这是一个25岁的新婚病人,因严重的急性下腹部疼痛并恶心而被送到急诊科。临床体格检查发现腹部压痛。超声示右侧卵巢囊肿,尺寸为4.5 cm × 4.1 cm,附壁结节,彩色多普勒示无内部血管。右输卵管水肿,呈暗红色,行腹腔镜检查。因此,诊断为孤立性输卵管扭转,并在保留右卵巢的情况下行右侧输卵管切除术。术后恢复顺利。组织病理学检查证实切除的输卵管坏死。孤立性输卵管扭转是一种罕见但值得注意的事件。早期诊断和及时处理是输卵管保留手术的关键。
Isolated fallopian tube torsion with preservation of ipsilateral ovary. A case report
Isolated fallopian tube torsion (IFTT) is a rare cause of acute lower abdominal pain in women. Its nonspecific clinical presentation makes preoperative diagnosis more challenging. Laparoscopy is the gold standard in diagnosis and treatment.
This is a case of a 25-year-old newly married patient presented to the emergency department with sever acute lower abdominal pain associated with nausea. Clinical physical examination revealed abdominal tenderness. Ultrasound showed a right ovarian cyst measuring 4.5 cm × 4.1 cm with mural nodule, no internal vascularity on color doppler. Laparoscopy was performed where the right fallopian tube was found edematous, darkened red in color. Therefore, isolated fallopian tube torsion was diagnosed and right salpingectomy was performed with preservation of the right ovary. Postoperative recovery was uneventful.
Histopathological examination confirmed necrosis of the excised fallopian tube.
Isolated fallopian tube torsion is a rare yet noteworthy event. Early diagnosis and timely management are crucial for tubal sparing surgery.