Kim Ji Hye, Jung Hyo Jin, Song Seung Hun
Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.
Department of Obstetrics and Gynecology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Obstet Gynecol Sci. 2017 Jul;60(4):387-390. doi: 10.5468/ogs.2017.60.4.387. Epub 2017 Jul 14.
Isolated torsion of the fallopian tube in postmenopausal women is rare. In this case report, we detail the case of a 53-year-old patient who presented with adenomyosis and a left hydrosalpinx with high levels of CA 125 and CA 19-9. The isolated torsion of the left hydrosalpinx was observed during the operation. The serum levels of CA 125 and CA 19-9 were reduced from 129.62 and 348 to 58.2 and 12.41 U/mL, respectively, after total laparoscopic hysterectomy with salpingectomy. On radiologic evaluation, there were no other factors that may have influenced the increase in serum levels of CA 125 and CA 19-9 in this patient, which were reduced after operation. To the best of our knowledge, this is the first case of association between perioperative changes in CA 19-9 levels and isolated torsion of the fallopian tube.
绝经后女性孤立性输卵管扭转较为罕见。在本病例报告中，我们详细介绍了一名53岁患者的情况，该患者患有子宫腺肌病和左侧输卵管积水，CA 125和CA 19-9水平升高。术中观察到左侧输卵管发生孤立性扭转。在全腹腔镜子宫切除术加输卵管切除术后，血清CA 125和CA 19-9水平分别从129.62和348降至58.2和12.41 U/mL。经影像学评估，该患者血清CA 125和CA 19-9水平升高不存在其他可能的影响因素，术后这些指标有所下降。据我们所知，这是首例CA 19-9水平围手术期变化与输卵管孤立性扭转相关的病例。
