Batukan Cem, Ozgun Mahmut Tuncay, Turkyilmaz Cagdas, Tayyar Mehmet
Department of Obstetrics and Gynecology, Faculty of Medicine, Erciyes University, 38039 Kayseri, Turkey.
J Reprod Med. 2007 Aug;52(8):745-7.
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.
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.
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.
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。
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。
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。
