Renjit Silja, Morale Evelyn U, Mathew Mariam
Department of Obstetrics and Gynecology, Sultan Qaboos University Hospital, Muscat Oman.
Oman Med J. 2008 Oct;23(4):289-90.
Adnexal torsion accounts for 2.7% of all gynaecological emergencies, but isolated torsion of fallopian tube is an infrequent yet significant cause of lower abdominal pain in women, which generally presents in the reproductive age group. The overall incidence is 1 in 1.5 million women and is generally isolated and unilateral.(1) Patients typically present with intermittent pain related to torsion and detorsion of the involved adnexa. Early diagnosis and treatment is necessary if a twisted tube or part of it is to be preserved; early laparoscopy may be a considerable diagnostic tool in these cases. We report a case of isolated torsion of fallopian tube containing an ectopic pregnancy.
附件扭转占所有妇科急症的2.7%，但单纯输卵管扭转是女性下腹部疼痛的罕见但重要原因，通常发生在育龄期。总体发病率为150万分之一，且一般为单侧孤立性发病。（1）患者通常表现为与受累附件扭转和复位相关的间歇性疼痛。若要保留扭转的输卵管或其部分，则早期诊断和治疗是必要的；在这些病例中，早期腹腔镜检查可能是一种重要的诊断工具。我们报告一例伴有异位妊娠的单纯输卵管扭转病例。
