Gulino Ferdinando Antonio, Ettore Carla, Morreale Gianfranco, Siringo Stefano, Russo Emanuele, D'Asta Marco, Cannone Francesco, Ettore Giuseppe
Medical Doctor, Department of Obstetrics and Gynaecology - Azienda di Rilievo Nazionale e di Alta Specializzazione (ARNAS) Garibaldi Nesima, Catania, Italy.
Professor of Obstetrics and Gynaecology, Department of Obstetrics and Gynaecology - Azienda di Rilievo Nazionale e di Alta Specializzazione (ARNAS) Garibaldi Nesima, Catania, Italy.
Front Surg. 2022 Apr 5;9:856915. doi: 10.3389/fsurg.2022.856915. eCollection 2022.
Isolated torsion of a fallopian tube is a rare event and it is extremely difficult to be diagnosed in pregnancy. The aim of this study is to present a clinical case report that occurred in our department and to summarize the latest evidence about tubal torsion in pregnancy.
We reported data, ultrasonographic features and an intra-operative image of a case report of tubal torsion in a term pregnancy. Then a review of the literature was performed following the PRISMA statement: we searched all the articles related to tubal torsion in pregnancy in the last 10 years from the international electronic bibliographic database PUBMED. We collected data regarding population characteristics, clinical features, treatment, and feto-maternal outcomes.
According to our search strategy, 10 articles were included. The main clinical symptoms were abdominal pelvic pain (100%), nausea, and vomiting (30%). The mean gestational age at the diagnosis was 36 weeks after the last menstrual period in 50% of cases. Ultrasound images showed a cystic lesion in the adnexal area in 70% of cases. In most of the cases, a cesarean section with a contextual salpingectomy was performed. No cases of maternal and fetal death were respectively reported.
Isolated torsion of the fallopian tube is a rare obstetric condition but it should be considered in case of acute lower abdominal pain presentation during pregnancy. Depending on gestational age, surgical treatment as soon as possible could prevent a salpingectomy.
孤立性输卵管扭转是一种罕见的情况，在妊娠期极难诊断。本研究的目的是报告发生在我们科室的一例临床病例，并总结妊娠期输卵管扭转的最新证据。
我们报告了一例足月妊娠输卵管扭转病例的数据、超声特征和术中图像。然后按照PRISMA声明进行文献综述：我们在国际电子文献数据库PUBMED中搜索了过去10年中所有与妊娠期输卵管扭转相关的文章。我们收集了有关人群特征、临床特征、治疗及母婴结局的数据。
根据我们的检索策略，纳入了10篇文章。主要临床症状为下腹部盆腔疼痛（100%）、恶心和呕吐（30%）。50%的病例诊断时的平均孕周为末次月经后36周。70%的病例超声图像显示附件区有囊性病变。大多数病例行剖宫产并同期切除输卵管。分别未报告母婴死亡病例。
孤立性输卵管扭转是一种罕见的产科情况，但在妊娠期出现急性下腹痛时应予以考虑。根据孕周，尽早进行手术治疗可避免切除输卵管。
