Department of Pediatric Surgery, Ufuk University, Faculty of Medicine, Ankara, Turkey.
J Pediatr Surg. 2012 Dec;47(12):e31-4. doi: 10.1016/j.jpedsurg.2012.08.040.
Torsion of the fallopian tube accompanying hydrosalpinx is a rare occurrence in the pediatric population. This report describes a 13 year old sexually inactive girl with isolated tubal torsion due to hydrosalpinx. The girl had lower left abdominal pain for two days. The physical examination revealed left lower quadrant tenderness with a firm round anterior mass on rectal examination. Abdominal ultrasound showed left tubal enlargement with free pelvic peritoneal fluid. Magnetic Resonance Imaging (MRI) showed engorgement and dilatation of the left fallopian tube without contrast enhancement suspicious of tubal torsion. At operation, torsion of the left tube on its longitudinal axis was observed, and a salpingectomy was performed. Although rare, the diagnosis of torsion of the fallopian tube should be considered when evaluating acute abdominal pain. The earlier tubal torsion is diagnosed, the greater the likelihood of salvaging the fallopian tube.
输卵管扭转伴输卵管积水在儿科人群中较为罕见。本报告描述了一例 13 岁无性生活史的女孩，因输卵管积水导致孤立性输卵管扭转。该女孩左下腹痛两天。体格检查发现左下腹有触痛，直肠检查可触及坚硬的圆形前位肿块。腹部超声显示左侧输卵管增大，盆腔游离腹膜腔积液。磁共振成像（MRI）显示左侧输卵管充盈扩张，无对比增强，疑似输卵管扭转。术中观察到左侧输卵管沿纵轴扭转，并进行了输卵管切除术。尽管罕见，但在评估急性腹痛时应考虑输卵管扭转的诊断。输卵管扭转越早诊断，保留输卵管的可能性越大。
