Goktolga Umit, Ceyhan Temel, Ozturk Haluk, Gungor Sadettin, Zeybek Nazif, Keskin Ugur, Ciftpinar Tolga, Baser Iskender
Department of Obstetrics and Gynecology, Gulhane Military Medical Academy and Medical School, Ankara, Turkey.
J Obstet Gynaecol Res. 2007 Apr;33(2):215-7. doi: 10.1111/j.1447-0756.2007.00502.x.
Isolated torsion of fallopian tubes should be considered even at premenarcheal ages in cases of acute pelvic pain, and prompt surgery can preserve the tube and thus fertility. It is an uncommon emergency event and a difficult condition to evaluate clinically. This report focuses on a 12-year-old premenarcheal girl who presented with acute pelvic pain of 2 days. Pelvic ultrasound showed an adnexal mass on the left side. Laparoscopy was performed and an isolated tubal torsion was discovered. The tube was necrotic and salpingectomy was performed. The appendix appeared to be hyperemic and erectile. Appendectomy was also performed to rule out appendicitis. It's our recommendation that in the differential diagnosis of acute lower abdominal pain of girls, isolated torsion of the fallopian tubes should be considered. Also, preservation of the tube and fertility should be possible with prompt surgical intervention.
即使在初潮前年龄，对于急性盆腔疼痛的病例，也应考虑孤立性输卵管扭转，及时手术可保留输卵管，从而保留生育能力。这是一种罕见的紧急情况，临床评估困难。本报告重点关注一名12岁初潮前女孩，她出现了2天的急性盆腔疼痛。盆腔超声显示左侧附件区有肿块。进行了腹腔镜检查，发现了孤立性输卵管扭转。输卵管已坏死，遂行输卵管切除术。阑尾似乎充血且肿胀。同时进行了阑尾切除术以排除阑尾炎。我们建议，在鉴别诊断女孩急性下腹痛时，应考虑孤立性输卵管扭转。此外，及时的手术干预应可保留输卵管和生育能力。
