Masroor Imrana, Khan Nadir
Radiology Department, Aga Khan University Hospital, Karachi.
J Pak Med Assoc. 2008 Oct;58(10):571-3.
A case of fallopian tube fimbrial cyst torsion with haemorrhage is presented, occurring in a 37-year-old female who had tubal ligation 6 years back. She presented in emergency with acute abdomen. Initial assessment of ovarian cyst haemorrhage or torsion was made. Ultrasound showed cystic structures in left adnexa and complex cyst in right adnexa with suspicion of torsion. Laparoscopy was performed and bilateral fimbrial cysts in fallopian tubes were identified with torsion on right side, and a left ovarian haemorrhagic cyst, which was subsequently confirmed on histopathology. Although fallopian tube torsion of fimbrial cyst is rare, it should be considered in patients who had history of bilateral tubal ligation. Again it should also be considered in the differential diagnosis of acute abdomen in females.
本文报告一例伴有出血的输卵管伞端囊肿扭转病例，患者为一名37岁女性，6年前行输卵管结扎术。她因急腹症急诊就诊。初步评估为卵巢囊肿出血或扭转。超声显示左侧附件有囊性结构，右侧附件有复杂囊肿，怀疑有扭转。行腹腔镜检查，发现双侧输卵管伞端囊肿，右侧有扭转，还有一个左侧卵巢出血性囊肿，随后经组织病理学证实。虽然输卵管伞端囊肿扭转很少见，但对于有双侧输卵管结扎史的患者应予以考虑。在女性急腹症的鉴别诊断中也应考虑到这一点。
