Khaitov Daniil, Gabbur Nagaraj
Resident in Obstetrics and Gynecology, Northwell Health, Department of Obstetrics and Gynecology, Manhasset, NY, USA.
Residency Program Director of Obstetrics and Gynecology, Zucker School of Medicine at NorthShore, Long Island Jewish Hospital, USA.
Case Rep Womens Health. 2021 Mar 16;30:e00307. doi: 10.1016/j.crwh.2021.e00307. eCollection 2021 Apr.
Unilateral lower quadrant pain is a common presenting complaint in the emergency room with a wide differential. It is important to consider fallopian tube torsion in the differential, especially in premenopausal women, as fertility-sparing detorsion, especially in a woman with a previous salpingectomy or other fertility-affecting surgery, is essential. This case report is of a 25-year-old woman with worsening left lower quadrant abdominal pain over 24 h found to have an extraovarian cystic mass. When taking into consideration the patient with a history of contralateral fallopian tube torsion secondary to a paraovarian cyst, now presenting with left lower quadrant abdominal pain and a cystic extraovarian mass, immediate laparoscopic evaluation was warranted. Immediate intervention revealed an isolated fallopian tube torsion and resulted in surgical preservation of fertility.
单侧下腹部疼痛是急诊室常见的就诊主诉，鉴别诊断范围广泛。在鉴别诊断时考虑输卵管扭转很重要，尤其是在绝经前女性中，因为保留生育功能的扭转复位术至关重要，特别是对于有过输卵管切除术或其他影响生育手术的女性。本病例报告的是一名25岁女性，其左下腹部疼痛在24小时内加重，检查发现有一个卵巢外囊性肿块。考虑到该患者有对侧输卵管因卵巢旁囊肿继发扭转的病史，现出现左下腹部疼痛和卵巢外囊性肿块，有必要立即进行腹腔镜评估。立即干预发现是孤立性输卵管扭转，从而通过手术保留了生育功能。
