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一个奇怪的转折。

A Strange Twist.

作者信息

O'Connell Annete, Kong Rodrigo, Biswas Rohan, Greenstein Josh, Hahn Barry

机构信息

Staten Island University Hospital, Department of Emergency Medicine, Staten Island, NY.

Staten Island University Hospital, Department of Radiology, Staten Island, NY.

出版信息

Clin Pract Cases Emerg Med. 2022 Aug;6(3):256-258. doi: 10.5811/cpcem.2022.4.56344.

DOI:10.5811/cpcem.2022.4.56344
PMID:36049201
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9436496/
Abstract

CASE PRESENTATION

A 16-year-old female presented to the emergency department with acute onset of right lower quadrant abdominal pain for several hours. The patient was afebrile and physical examination was notable for isolated tenderness in the right lower quadrant. Ultrasound and computed tomography demonstrated an adnexal cystic structure. Pelvic magnetic resonance imaging was ordered to better characterize the pathology.

DISCUSSION

Isolated fallopian tube torsion is an uncommon entity requiring prompt surgical intervention. Recognition and appropriate management are essential.

摘要

病例介绍

一名16岁女性因右下腹急性腹痛数小时就诊于急诊科。患者无发热，体格检查发现右下腹有单独压痛。超声和计算机断层扫描显示附件有囊性结构。已安排盆腔磁共振成像以更好地明确病变性质。

讨论

单纯输卵管扭转是一种罕见情况，需要及时进行手术干预。识别和恰当处理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be2/9436496/58ed2dc83c32/cpcem-6-256-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be2/9436496/0d2d5de7f78c/cpcem-6-256-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be2/9436496/f3b07a78b064/cpcem-6-256-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be2/9436496/58ed2dc83c32/cpcem-6-256-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be2/9436496/0d2d5de7f78c/cpcem-6-256-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be2/9436496/f3b07a78b064/cpcem-6-256-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be2/9436496/58ed2dc83c32/cpcem-6-256-g003.jpg

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引用本文的文献

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A rare case of isolated fallopian tubal torsion in adolescent girls: A case report and system review of literature.青春期女孩孤立性输卵管扭转1例罕见病例报告及文献系统综述
SAGE Open Med Case Rep. 2023 Nov 30;11:2050313X231215207. doi: 10.1177/2050313X231215207. eCollection 2023.

本文引用的文献

1
Isolated Fallopian Tube Torsion: An Underdiagnosed Entity with Debatable Management.孤立性输卵管扭转：一种诊断不足的实体，其处理存在争议。
J Minim Invasive Gynecol. 2022 Jan;29(1):158-163. doi: 10.1016/j.jmig.2021.07.019. Epub 2021 Aug 8.
2
Isolated tubal twist: A case series of a rare event occurring at different times in reproductive life.孤立性输卵管扭转：一系列发生于生殖生活不同时期的罕见病例
Int J Surg Case Rep. 2021 Mar;80:105688. doi: 10.1016/j.ijscr.2021.105688. Epub 2021 Feb 22.
3
Isolated fallopian tube torsion in pediatric age: An Italian multicenter retrospective study.
儿童期孤立性输卵管扭转：一项意大利多中心回顾性研究。
J Pediatr Surg. 2020 Apr;55(4):711-714. doi: 10.1016/j.jpedsurg.2019.04.032. Epub 2019 May 11.
4
Isolated fallopian tube torsion in pediatric and adolescent females: a retrospective review of 15 cases at a single institution.小儿及青春期女性孤立性输卵管扭转：单机构15例回顾性研究
J Pediatr Adolesc Gynecol. 2013 Jun;26(3):189-92. doi: 10.1016/j.jpag.2013.02.010.