Ardıçlı Burak, Ekinci Saniye, Oğuz Berna, Haliloğlu Mithat, Tanyel F Cahit, Karnak İbrahim
Department of Pediatric Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Turk J Pediatr. 2013 Jul-Aug;55(4):451-4.
Isolated fallopian tube torsion (IFTT) is a rare entity in adolescent girls. Invasive surgery, salpingectomy, was used during the initial surgery or at the time of recurrent torsion in 87% of previously reported cases. Herein, the authors present an adolescent premenarcheal girl with idiopathic IFTT, which was treated by laparoscopic detorsion, to emphasize that tubal torsion should be included in the list of differential diagnoses of abdominal pain in adolescent girls. Minimally invasive, organ-saving surgery should be done, and the child should be followed up for recurrent torsion.
孤立性输卵管扭转(IFTT)在青春期女孩中是一种罕见的病症。在先前报道的病例中,87%在初次手术时或复发扭转时采用了侵入性手术即输卵管切除术。在此,作者介绍了一名青春期前的特发性IFTT少女,其通过腹腔镜扭转复位术进行治疗,以强调输卵管扭转应列入青春期女孩腹痛鉴别诊断清单。应进行微创的、保留器官的手术,并对患儿进行复发性扭转的随访。