Lo Grace C, Kadoch Michael A, Simpson William
Department of Radiology, Icahn School of Medicine at Mount Sinai, One Gustave L Levy Pl, Box 1234, New York, NY 10029, USA.
Clin Imaging. 2016 Sep-Oct;40(5):1004-8. doi: 10.1016/j.clinimag.2016.05.007. Epub 2016 May 27.
Isolated fallopian tube torsion is a rare entity that is difficult to diagnose, as its clinical presentation is often highly nonspecific. Early diagnosis is important to avoid damage or loss of the fallopian tube or even the ovary, as this diagnosis occurs predominantly in women of child-bearing age. Imaging may be helpful in suggesting this difficult diagnosis, with confirmation of this entity made in the operating room. Treatment can range from detorsing the tube to salpingectomy or even salpingo-oopherectomy. Here, we present two cases of isolated fallopian tube torsion, followed by a discussion of its imaging findings.
孤立性输卵管扭转是一种罕见的疾病,很难诊断,因为其临床表现通常极不具有特异性。早期诊断对于避免输卵管甚至卵巢的损伤或丧失很重要,因为这种诊断主要发生在育龄妇女中。影像学检查可能有助于提示这种难以诊断的疾病,最终在手术室中得以确诊。治疗方法包括输卵管扭转复位术、输卵管切除术甚至输卵管卵巢切除术。在此,我们报告两例孤立性输卵管扭转病例,随后讨论其影像学表现。