年轻女性孤立性输卵管扭转：一个病例系列

IF 0.2 Q4 PEDIATRICS

Journal of Pediatric Surgery Case Reports Pub Date : 2025-03-24 DOI:10.1016/j.epsc.2025.102991

Bochra Aziza , Yasmine Houas , Asma Slimani , Riadh Jouini

{"title":"年轻女性孤立性输卵管扭转：一个病例系列","authors":"Bochra Aziza , Yasmine Houas , Asma Slimani , Riadh Jouini","doi":"10.1016/j.epsc.2025.102991","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>Isolated fallopian tube torsion (IFTT) is rare in the pediatric population. Its diagnosis is not always straightforward.</div></div><div><h3>Case presentation</h3><div>Case 1: A 10-year-old premenarchal girl presented after four days of intermittent right iliac fossa pain, nausea, and vomiting. Pelvic ultrasound (US) initially suggested a left ovarian torsion, showing an enlarged, 60 × 50 mm left ovary with no Doppler flow. She was taken to the operating room for an exploratory laparoscopy. We found an IFTT, with a totally normal left ovary. The left fallopian tube was completely necrotic, so a salpingectomy was done preserving the ovary. Case 2: A 13-year-old girl was admitted after 48 hours of pelvic pain and vomiting. US and computerized tomography (CT) scan showed an enlarged left ovary with preserved vascular flow, and an adjacent 32 x 25-mm cystic tubular formation. Suspecting ovarian torsion, she was taken to the operating room for an exploratory laparoscopy. The right fallopian tube was torsed, whereas the right ovary was normal. The left ovary and the left Fallopian tube were normal as well. Despite having a bluish discoloration after the detorsion, the right Fallopian tube was preserved. Case 3: A 12-year-old girl presented to our emergency department with severe intermittent abdominal pain and bilious vomiting. Abdominal US suggested IFTT, so she underwent a laparoscopic exploration. The right fallopian tube was enlarged and torsed. The right ovary was normal. We confirmed good reperfusion after the detorsion, so the right Fallopian tube was preserved. No obvious etiology for the torsion was found.</div></div><div><h3>Conclusion</h3><div>IFTT in young females is rare and can be misdiagnosed as ovarian torsion on US or CT studies.</div></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":"117 ","pages":"Article 102991"},"PeriodicalIF":0.2000,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Isolated fallopian tube torsion in young females: A case series\",\"authors\":\"Bochra Aziza , Yasmine Houas , Asma Slimani , Riadh Jouini\",\"doi\":\"10.1016/j.epsc.2025.102991\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><div>Isolated fallopian tube torsion (IFTT) is rare in the pediatric population. Its diagnosis is not always straightforward.</div></div><div><h3>Case presentation</h3><div>Case 1: A 10-year-old premenarchal girl presented after four days of intermittent right iliac fossa pain, nausea, and vomiting. Pelvic ultrasound (US) initially suggested a left ovarian torsion, showing an enlarged, 60 × 50 mm left ovary with no Doppler flow. She was taken to the operating room for an exploratory laparoscopy. We found an IFTT, with a totally normal left ovary. The left fallopian tube was completely necrotic, so a salpingectomy was done preserving the ovary. Case 2: A 13-year-old girl was admitted after 48 hours of pelvic pain and vomiting. US and computerized tomography (CT) scan showed an enlarged left ovary with preserved vascular flow, and an adjacent 32 x 25-mm cystic tubular formation. Suspecting ovarian torsion, she was taken to the operating room for an exploratory laparoscopy. The right fallopian tube was torsed, whereas the right ovary was normal. The left ovary and the left Fallopian tube were normal as well. Despite having a bluish discoloration after the detorsion, the right Fallopian tube was preserved. Case 3: A 12-year-old girl presented to our emergency department with severe intermittent abdominal pain and bilious vomiting. Abdominal US suggested IFTT, so she underwent a laparoscopic exploration. The right fallopian tube was enlarged and torsed. The right ovary was normal. We confirmed good reperfusion after the detorsion, so the right Fallopian tube was preserved. No obvious etiology for the torsion was found.</div></div><div><h3>Conclusion</h3><div>IFTT in young females is rare and can be misdiagnosed as ovarian torsion on US or CT studies.</div></div>\",\"PeriodicalId\":45641,\"journal\":{\"name\":\"Journal of Pediatric Surgery Case Reports\",\"volume\":\"117 \",\"pages\":\"Article 102991\"},\"PeriodicalIF\":0.2000,\"publicationDate\":\"2025-03-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Pediatric Surgery Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2213576625000363\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatric Surgery Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2213576625000363","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PEDIATRICS","Score":null,"Total":0}

引用次数: 0

摘要

孤立性输卵管扭转（IFTT）在儿科人群中是罕见的。它的诊断并不总是直截了当的。病例1：一名10岁的月经前女孩，在4天后出现间歇性的右髂窝疼痛、恶心和呕吐。盆腔超声（US）最初提示左侧卵巢扭转，显示左侧卵巢增大，60 × 50 mm，无多普勒血流。她被带到手术室进行腹腔镜探查。我们找到了一个IFTT，左卵巢完全正常。左输卵管完全坏死，因此做了输卵管切除术以保留卵巢。病例2：一名13岁女孩在48小时骨盆疼痛和呕吐后入院。超声和计算机断层扫描显示左侧卵巢增大，血管血流保留，邻近32 x 25mm囊性小管形成。由于怀疑卵巢扭转，她被带到手术室进行腹腔镜探查。右输卵管扭曲，而右卵巢正常。左卵巢和左输卵管也正常。尽管在扭曲后有蓝色的变色，但右输卵管被保存了下来。病例3：一名12岁女孩因严重的间歇性腹痛和胆汁性呕吐来到急诊科。腹部超声提示IFTT，因此她接受了腹腔镜探查。右输卵管扩大扭曲。右卵巢正常。我们证实扭曲后再灌注良好，因此保留了右输卵管。未发现扭转的明显病因。结论iftt在年轻女性中少见，在超声和CT检查中容易误诊为卵巢扭转。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Isolated fallopian tube torsion in young females: A case series

Introduction

Isolated fallopian tube torsion (IFTT) is rare in the pediatric population. Its diagnosis is not always straightforward.

Case presentation

Case 1: A 10-year-old premenarchal girl presented after four days of intermittent right iliac fossa pain, nausea, and vomiting. Pelvic ultrasound (US) initially suggested a left ovarian torsion, showing an enlarged, 60 × 50 mm left ovary with no Doppler flow. She was taken to the operating room for an exploratory laparoscopy. We found an IFTT, with a totally normal left ovary. The left fallopian tube was completely necrotic, so a salpingectomy was done preserving the ovary. Case 2: A 13-year-old girl was admitted after 48 hours of pelvic pain and vomiting. US and computerized tomography (CT) scan showed an enlarged left ovary with preserved vascular flow, and an adjacent 32 x 25-mm cystic tubular formation. Suspecting ovarian torsion, she was taken to the operating room for an exploratory laparoscopy. The right fallopian tube was torsed, whereas the right ovary was normal. The left ovary and the left Fallopian tube were normal as well. Despite having a bluish discoloration after the detorsion, the right Fallopian tube was preserved. Case 3: A 12-year-old girl presented to our emergency department with severe intermittent abdominal pain and bilious vomiting. Abdominal US suggested IFTT, so she underwent a laparoscopic exploration. The right fallopian tube was enlarged and torsed. The right ovary was normal. We confirmed good reperfusion after the detorsion, so the right Fallopian tube was preserved. No obvious etiology for the torsion was found.