左侧输卵管慢性孤立性扭转：诊断难题。
Chronic isolated torsion of the left fallopian tube: a diagnostic dilemma.
作者信息
Schollmeyer Thoralf, Soyinka Ayodapo Samuel, Mabrouk Mohamed, Jonat Walter, Mettler Liselotte, Meinhold-Heerlein Ivo
机构信息
Department of Obstetrics and Gynecology, University Hospital Schleswig-Holstein, Campus Kiel, Michaelisstrasse 16, Kiel, Germany.
出版信息
Arch Gynecol Obstet. 2008 Jan;277(1):87-90. doi: 10.1007/s00404-007-0411-8. Epub 2007 Jul 25.
BACKGROUND
Chronic tubal torsion is a rare clinical entity.
CASE
A 15-year-old adolescent presented with an 18-month history of intermittent lower abdominal pain at our outpatient department after various preceding consultations with different physicians. She was asymptomatic and showed no abnormality on physical examination. Ultrasound findings revealed a cystic structure adjacent to the left ovary. Diagnostic laparoscopy showed a twisted and dilated left fallopian tube with thickened wall and adherence to the pelvic sidewall. Following detorsion, there was no evidence of reperfusion. Consequently, a left salpingectomy was performed.
CONCLUSION
Chronic tubal torsion is a rare but possible differential diagnosis of current lower abdominal pain. Physicians should have a high index of suspicion.
背景
慢性输卵管扭转是一种罕见的临床病症。
病例
一名15岁青少年在先前与不同医生进行多次会诊后，前来我院门诊，有18个月间歇性下腹痛病史。她无症状，体格检查未发现异常。超声检查发现左卵巢旁有一囊性结构。诊断性腹腔镜检查显示左侧输卵管扭曲、扩张，壁增厚并与盆腔侧壁粘连。扭转解除后，无再灌注迹象。因此，实施了左侧输卵管切除术。
结论
慢性输卵管扭转是当前下腹痛的一种罕见但可能的鉴别诊断。医生应高度怀疑。
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