Dr. Zekai Tahir Burak Training and Research Hospital, Inonu University Faculty of Medicine, Department of Obstetrics and Gynecology, Malatya, Turkey.
Eur Rev Med Pharmacol Sci. 2011 Apr;15(4):448-51.
Isolated tubal torsion accompanying pregnancy is an extremely rare condition. Preoperative diagnosis is generally difficult; most of the cases can be diagnosed intraoperatively. Here, we reported a 36-week pregnant with a complaint of acute pain in right lower quadrant that emanating to right lomber region. Abdominal utrasonography showed grade 3 hydronephrosis in right kidney, other findings were normal. A cesarean section was carried out and a twisted right tube were diagnosed. Right ovary was normal in appearance. The torsioned tube compressed the right ureter and caused ureteral dilatation. Right salpingectomy was performed. Postoperative follow-up of the patient was uneventful.
妊娠合并输卵管单纯性扭转是一种极其罕见的情况。术前诊断通常较为困难，大多数病例可在术中确诊。本文报道了 1 例孕 36 周、以右下腹痛并放射至右腰部为主要表现的患者。腹部超声检查提示右侧肾脏 3 级积水，其他检查未见明显异常。行剖宫产术，术中诊断右侧输卵管扭转。右侧卵巢外观正常。扭转的输卵管压迫右侧输尿管导致其扩张。行右侧输卵管切除术。患者术后恢复顺利，随访无异常。
