Lineberry T D, Rodriguez H
Department of Obstetrics and Gynecology, The University of Tennessee Medical Center-Knoxville, Knoxville, TN, USA.
J Pediatr Adolesc Gynecol. 2000 Aug;13(3):135-7. doi: 10.1016/s1083-3188(00)00043-7.
Isolated torsion of the fallopian tube is an uncommon event. It is a difficult condition to evaluate clinically and surgery is often necessary to establish the diagnosis. This report focuses on a 15-year-old female who presented with acute pelvic pain, nausea, and vomiting. Pelvic ultrasound showed an adnexal mass. A diagnostic laparoscopy was performed which confirmed the diagnosis of isolated tubal torsion. Based on this experience as well as other similar reported cases, isolated torsion of the fallopian tube should be considered in the differential diagnosis of acute lower abdominal/pelvic pain in the female patient. Prompt surgical intervention may allow for preservation of the tube.
孤立性输卵管扭转是一种罕见的情况。这是一种临床评估困难的病症,通常需要手术来确诊。本报告聚焦于一名15岁女性,她出现急性盆腔疼痛、恶心和呕吐症状。盆腔超声显示附件区有包块。进行了诊断性腹腔镜检查,证实为孤立性输卵管扭转。基于这一经验以及其他类似的报告病例,在女性患者急性下腹部/盆腔疼痛的鉴别诊断中应考虑孤立性输卵管扭转。及时的手术干预可能有助于保留输卵管。