Orazi Cinzia, Inserra Alessandro, Lucchetti M Chiara, Schingo Paolo M S
Department of Diagnostic Imaging, I.R.C.C.S. Bambino Gesù Pediatric Hospital, Rome, Italy.
Pediatr Radiol. 2006 Dec;36(12):1316-8. doi: 10.1007/s00247-006-0308-x. Epub 2006 Oct 5.
Isolated torsion of the fallopian tube is a rare clinical entity, especially in adolescents and at menarche. The diagnosis is essentially made at laparoscopy or at laparotomy because of nonspecific clinical signs. We present a case of isolated tubal torsion in a 12-year-old girl a few days after menarche, highlighting the sonographic and MR findings. Both techniques demonstrated the enlarged and tortuous fallopian tube with normal ovaries and uterus, but MR was also able to characterize contained blood and absent vascular supply. Although this condition is uncommon it should be considered as a cause of acute pelvic pain in adolescents because of the possibility of salvage surgery with early diagnosis. Sonography and MRI have a complementary role in this diagnosis.
孤立性输卵管扭转是一种罕见的临床病症，在青少年及初潮时尤为少见。由于临床症状不具特异性，诊断主要依靠腹腔镜检查或剖腹探查。我们报告一例初潮后数天的12岁女孩发生孤立性输卵管扭转的病例，重点介绍超声和磁共振成像（MR）的表现。两种检查技术均显示输卵管增粗、迂曲，卵巢和子宫正常，但MR还能够明确管腔内的血液情况及血供缺失。尽管此病不常见，但鉴于早期诊断后可行挽救性手术，在青少年急性盆腔疼痛的病因中应考虑此病。超声和MRI在该诊断中具有互补作用。
