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妊娠相关性输卵管扭转致肾盂积水:1 例报告。

Hydronephrosis of pregnancy associated with torsion of the fallopian tube: a case report.

机构信息

Dr. Zekai Tahir Burak Training and Research Hospital, Inonu University Faculty of Medicine, Department of Obstetrics and Gynecology, Malatya, Turkey.

出版信息

Eur Rev Med Pharmacol Sci. 2011 Apr;15(4):448-51.

Abstract

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.

摘要

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。

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