妊娠期孤立性输卵管扭转：一例报告
Isolated torsion of the fallopian tube during pregnancy: a case report.
作者信息
Batukan Cem, Ozgun Mahmut Tuncay, Turkyilmaz Cagdas, Tayyar Mehmet
机构信息
Department of Obstetrics and Gynecology, Faculty of Medicine, Erciyes University, 38039 Kayseri, Turkey.
出版信息
J Reprod Med. 2007 Aug;52(8):745-7.
BACKGROUND
Isolated fallopian tube torsion during pregnancy is a rare condition, and only 16 cases have been reported. In all but 1 case the right tube was affected. We report the second case of isolated left fallopian tube torsion during pregnancy.
CASE
A 23-year-old primigravida presented at 22 weeks of gestation with left lower abdominal pain. Sonography depicted a simple cystic mass adjacent to the left uterine border. Laparotomy revealed torsion of the left hydrosalpinx together with a paraovarian cyst. The patient delivered a healthy infant at term after an otherwise-uneventful pregnancy.
CONCLUSION
As the gravid uterus increases the risk for fallopian tube torsion, this condition should be included in the differential diagnosis of lower abdominal pain during pregnancy.
背景
妊娠期孤立性输卵管扭转是一种罕见疾病，仅报告过16例。除1例之外，其余所有病例均为右侧输卵管受累。我们报告妊娠期孤立性左侧输卵管扭转的第二例病例。
病例
一名23岁初孕妇在妊娠22周时出现左下腹疼痛。超声检查显示左子宫边界旁有一个单纯性囊性肿物。剖腹手术发现左侧输卵管积水伴卵巢冠囊肿扭转。该患者在经历了一段正常的孕期后足月分娩一名健康婴儿。
结论
由于妊娠子宫会增加输卵管扭转风险，这种情况应纳入妊娠期下腹痛的鉴别诊断。
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