Ait Benkaddour Y, Bennani R, Aboulfalah A, Abbassi H
Department of Obstetrics and gynecology, University Hospital of Marrakesh, Cadi Ayyad University, Marrakesh, Morrocco.
Afr J Reprod Health. 2009 Dec;13(4):147-50.
Isolated torsion of hydrosalpinx is a rare cause of acute pelvic pain. Pre-operative diagnosis is very difficult because of non specific clinical presentation. Definitive diagnosis is always made at surgical exploration performed for suspected adnexal torsion and salpingectomy is performed in the majority of cases. A 34-year-old woman was admitted for acute pelvic pain with nausea and vomiting. Vaginal examination revealed a right adnexal tender mass and ultrasound revealed a well circumscribed right adnexal cystic mass. Surgical exploration has revealed torsion of a right hydrosalpinx and right salpingectomy was performed. Differential diagnosis between adnexal and tubal torsion is very difficult, however both should be managed by rapid surgical exploration which an allow precocious diagnosis and conservative treatment.
孤立性输卵管积水扭转是急性盆腔疼痛的罕见原因。由于临床表现不具特异性，术前诊断非常困难。确诊总是在因怀疑附件扭转而进行的手术探查时作出，大多数情况下会进行输卵管切除术。一名34岁女性因急性盆腔疼痛伴恶心、呕吐入院。阴道检查发现右侧附件有压痛性肿块，超声显示右侧附件有一个边界清晰的囊性肿块。手术探查发现右侧输卵管积水扭转，并进行了右侧输卵管切除术。附件扭转和输卵管扭转的鉴别诊断非常困难，然而两者都应通过快速手术探查来处理，这有助于早期诊断和保守治疗。
