Poma P A, Barber A
Department of Obstetrics and Gynecology, Ravenswood Hospital Center, Chicago, Illinois 60640-5205, USA.
J Natl Med Assoc. 2001 Apr;93(4):149-50.
Because it usually presents with nonspecific symptoms and occurs rarely, the diagnosis of fallopian tube torsion and necrosis is usually done at laparotomy. A 32 year-old woman returned to the hospital with right lower quadrant pain three days after a postpartum tubal sterilization procedure. Clinical, laboratory and imaging findings did not assist with the diagnosis. At laparotomy, after dissection of adhesions, a necrotic right fallopian tube was found. A salpingectomy was performed and the patient had an uneventful postoperative course. Fallopian tube torsion should be included in the differential diagnosis of pelvic pain in women. This patient has a good prognosis.
由于输卵管扭转坏死通常表现为非特异性症状且很少发生，其诊断通常在剖腹手术时进行。一名32岁女性在产后输卵管绝育手术后三天因右下腹疼痛返回医院。临床、实验室及影像学检查结果均无助于诊断。剖腹手术时，在分离粘连后，发现右侧输卵管坏死。遂行输卵管切除术，患者术后恢复顺利。输卵管扭转应列入女性盆腔疼痛的鉴别诊断中。该患者预后良好。
