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16岁女孩的孤立性输卵管扭转:一例病例报告及文献复习

Isolated torsion of the fallopian tube in a 16-year-old girl: A case report and review of the literature.

作者信息

Kolovos GeorgiosN, Meytap Emmy, Samartzis Nicolas, Kalaitzopoulos Dimitrios Rafail

机构信息

National and Kapodistrian University of Athens, Medical School, Athens, Greece.

Department of Gynecology and Obstetrics, Cantonal Hospital of St. Gallen, St. Gallen, Switzerland.

出版信息

Case Rep Womens Health. 2019 Jun 28;23:e00132. doi: 10.1016/j.crwh.2019.e00132. eCollection 2019 Jul.

Abstract

Torsion of the fallopian tube is when the tube twists on the axis created between the infundibulopelvic ligament and the utero-ovarian ligament. It most commonly presents with appendicitis-like symptoms, such as abdominal pain, nausea and vomiting. Because of its rarity and non-specific symptoms, it is usually misdiagnosed initially, which delays therapy, at the expense of the preservation of fertility. This case report of a 16-year-old girl who had never had sexual intercourse presents an example of the misdiagnosis of fallopian tube torsion. The definitive diagnosis was based on laparoscopy. We summarize our experience and provide our conclusions after reviewing the literature.

摘要

输卵管扭转是指输卵管在漏斗骨盆韧带和子宫卵巢韧带之间形成的轴上发生扭转。它最常表现为类似阑尾炎的症状,如腹痛、恶心和呕吐。由于其罕见性和非特异性症状,通常最初会被误诊,这会延误治疗,以牺牲生育能力为代价。本病例报告了一名16岁从未有过性行为的女孩,是输卵管扭转误诊的一个例子。最终诊断基于腹腔镜检查。我们在回顾文献后总结了我们的经验并给出了结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9228/6611968/2d6fd182f805/gr1.jpg

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