Bora Shabana Ashraf, Kanapathippillai Raj, Backos May
Women and Children's Department, West Middlesex University Hospital, Middlesex, UK.
BMJ Case Rep. 2011 Aug 24;2011:bcr0520114183. doi: 10.1136/bcr.05.2011.4183.
The authors report a rare, unusual case of an isolated fallopian tube torsion in a young woman presenting with acute lower abdominal pain and a negative pregnancy test. The patient who initially presented with clinical and biochemical features suggestive of acute appendicitis was found to have a large necrotic pelvic mass at laparoscopy, discovered to be a torted fallopian tube with no ipsilateral ovarian involvement. The patient had a laparoscopic removal of the necrotic tube and recovered well postoperatively.
作者报告了一例罕见的、不寻常的孤立性输卵管扭转病例,患者为一名年轻女性,表现为急性下腹痛,妊娠试验阴性。该患者最初表现出提示急性阑尾炎的临床和生化特征,在腹腔镜检查时发现盆腔有一个大的坏死肿块,经检查发现是一条扭转的输卵管,同侧卵巢未受累。患者接受了腹腔镜下坏死输卵管切除术,术后恢复良好。