Department of Obstetrics Gynecology Reproduction and Foetal Medecine, CHU de Nice, L'Archet hospital, 151 route Saint-Antoine de Ginestière 06200 Nice, France.
J Pediatr Surg. 2011 Jul;46(7):1425-31. doi: 10.1016/j.jpedsurg.2011.01.033.
BACKGROUND/PURPOSE: Isolated tubal torsion associated with hydrosalpinx is a rare pathology. Our goal was to analyze the clinical and imaging features and discuss the different treatment options available.
We retrospectively reviewed all the cases of adnexal torsion treated in our department of pediatric surgery over a 10-year period. We searched 2 electronic databases (Medline and Sciencedirect) and targeted reports published during the same period using the key words tubal torsion and hydrosalpinx.
A total of 13 cases, 6 from our hospital and 7 in the medical literature, were identified and analyzed. In 9 (69%) of 13 cases (n = 9/13), torsion and hydrosalpinx occurred on the left fallopian tube. Salpingectomy was performed in 11 of the patients. The resected tubes showed the persistence of ciliated cells associated with signs of moderate ischemic infarction in 50% (n = 3/6) of the cases.
Isolated tubal torsion associated with hydrosalpinx is too often misdiagnosed and treated by salpingectomy regardless of the negative impact on the future reproductive potential of our young patients. As is commonly advocated for ovarian salvage in adnexal torsions, tubal conservation should be favored when possible.
背景/目的：与输卵管积水相关的孤立性输卵管扭转是一种罕见的病理。我们的目的是分析其临床和影像学特征，并讨论现有的不同治疗选择。
我们回顾性分析了 10 年来在我院小儿外科治疗的所有附件扭转病例。我们在 2 个电子数据库（Medline 和 Sciencedirect）中进行了搜索，并使用关键词“输卵管扭转”和“输卵管积水”搜索了同期发表的靶向报告。
共确定并分析了 13 例病例，其中 6 例来自我院，7 例来自文献。在 13 例（n = 9/13）患者中，有 9 例（69%）发生左侧输卵管扭转和输卵管积水。11 例患者接受了输卵管切除术。切除的输卵管显示出持续存在纤毛细胞，其中 50%（n = 3/6）的病例有中度缺血性梗死的迹象。
与输卵管积水相关的孤立性输卵管扭转常常被误诊，并进行输卵管切除术，而不管这对我们年轻患者未来的生殖潜力有何负面影响。正如在附件扭转中提倡的卵巢保留一样，当可能时，应优先考虑保留输卵管。
