Ibirogba Eniola R, Alshehabi Faheema Abduljalil, Konchwalla Afeefa Ashfaq, Sobei Mohammed Sobhy Badr, Ismail Amal Hassan Hassan
College of Medicine, Gulf Medical University, Ajman, United Arab Emirates.
Department of General Surgery, Thumbay Hospital, Ajman, United Arab Emirates.
J Family Reprod Health. 2020 Mar;14(1):57-59.
Isolated salpingeal torsion (IST) is a rare cause of acute abdomen in women of the reproductive age group. The lack of pathognomonic clinical, laboratory or radiographic findings makes early diagnosis a challenge. We describe a case of IST in a 13-year-old who suffered from a repeat torsion following initial conservative management. A 13-year-old girl presented with acute right lower quadrant abdominal pain of insidious onset. Her past medical history was non-contributory and her initial workup was unremarkable. Exploratory laparoscopy subsequently revealed isolated torsion of the right fallopian tube which was detorted. She presented 10 months later with similar complaints and further workup demonstrated right adnexal torsion which was confirmed by laparoscopy; salpingo-oophorectomy was necessary due to gangrenous necrosis. Conservative management of fallopian tube torsion confers the advantage of fertility preservation but the risk of repeat torsion remains clinically significant.
孤立性输卵管扭转（IST）是育龄期女性急性腹痛的罕见原因。缺乏特征性的临床、实验室或影像学表现使得早期诊断成为一项挑战。我们描述了一例13岁IST患者，其在初始保守治疗后发生了复发性扭转。一名13岁女孩出现隐匿性发作的急性右下腹疼痛。她既往病史无特殊，初始检查无异常。随后的 exploratory laparoscopy（应是“探查性腹腔镜检查”）显示右侧输卵管发生孤立性扭转，已予扭转复位。10个月后她再次出现类似症状，进一步检查显示右侧附件扭转，经腹腔镜检查确诊；由于发生坏疽性坏死，需行输卵管卵巢切除术。输卵管扭转的保守治疗具有保留生育能力的优势，但复发性扭转的风险在临床上仍然很显著。
