Ozgun Mahmut Tuncay, Batukan Cem, Turkyilmaz Cagdas, Serin Ibrahim Serdar
Erciyes University, Faculty of Medicine, Department of Obstetrics and Gynecology, Kayseri, Turkey.
Maturitas. 2007 Jul 20;57(3):325-7. doi: 10.1016/j.maturitas.2007.01.006. Epub 2007 Feb 20.
Isolated fallopian tube torsion after menopause is a rare condition. Here we report the second case of isolated fallopian tube torsion in a post-menopausal woman. A 55-year-old post-menopausal woman presented with right lower abdominal pain. Sonography depicted a simple cystic mass adjacent to the right uterine border. Laparatomy revealed torsion of the right fallopian tube together with a paraovarian cyst. Total abdominal hysterectomy and bilateral salpingo-oophorectomy was performed. Histopathological examination revealed a simple paraovarian cyst with severe congestion, necrosis and hemorrhage. Tubal torsion should be considered in the differential diagnosis of acute lower abdominal pain, even in post-menopausal women.
绝经后孤立性输卵管扭转是一种罕见的病症。在此，我们报告第二例绝经后女性孤立性输卵管扭转病例。一名55岁的绝经后女性出现右下腹痛。超声检查显示在右子宫边界附近有一个单纯性囊性肿物。剖腹手术发现右侧输卵管扭转并伴有卵巢旁囊肿。实施了全腹子宫切除术及双侧输卵管卵巢切除术。组织病理学检查显示为一个伴有严重充血、坏死和出血的单纯性卵巢旁囊肿。即使在绝经后女性中，急性下腹痛的鉴别诊断也应考虑输卵管扭转。
