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孤立性输卵管扭转病例中的同侧输卵管固定术

Ipsilateral Salpingopexy in a Case of Isolated Tubal Torsion.

作者信息

Mittal Shweta, Shekhar Bhawani

机构信息

Centre of IVF and Human Reproduction, Department of Obstetrics and Gynaecology, Sir Gangaram Hospital, Delhi, IND.

出版信息

Cureus. 2023 Jan 3;15(1):e33326. doi: 10.7759/cureus.33326. eCollection 2023 Jan.

DOI:10.7759/cureus.33326
PMID:36741640
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9894819/
Abstract

Isolated fallopian tube torsion (IFTT) is a rare emergency condition affecting young females. Due to the diagnostic dilemma, diagnosis of IFTT is often delayed leading to tubal necrosis and salpingectomy as the only choice of treatment. If diagnosed early, it can be managed conservatively by detorsion. Salpingopexy is an option described in the literature to prevent recurrence of this condition; however, evidence is scarce. This case report highlights the role of prompt diagnosis and management of IFTT. It describes a case of IFTT with paratubal cysts and a long tube in a young female, which was timely diagnosed and managed conservatively by laparoscopic detorsion, paratubal cystectomy, and ipsilateral salpingopexy.

摘要

孤立性输卵管扭转(IFTT)是一种影响年轻女性的罕见急症。由于诊断困难,IFTT的诊断常常延迟,导致输卵管坏死,输卵管切除术成为唯一的治疗选择。如果早期诊断,可通过扭转复位进行保守治疗。输卵管固定术是文献中描述的预防这种情况复发的一种选择;然而,证据很少。本病例报告强调了IFTT及时诊断和治疗的作用。它描述了一名年轻女性发生的伴有输卵管旁囊肿和长输卵管的IFTT病例,该病例通过腹腔镜扭转复位、输卵管旁囊肿切除术和同侧输卵管固定术得到及时诊断和保守治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e528/9894819/7f1c69f8ff76/cureus-0015-00000033326-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e528/9894819/6edf47bc5162/cureus-0015-00000033326-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e528/9894819/1ca3a58aa911/cureus-0015-00000033326-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e528/9894819/1bbac30775de/cureus-0015-00000033326-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e528/9894819/c17b62aed010/cureus-0015-00000033326-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e528/9894819/7f1c69f8ff76/cureus-0015-00000033326-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e528/9894819/6edf47bc5162/cureus-0015-00000033326-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e528/9894819/1ca3a58aa911/cureus-0015-00000033326-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e528/9894819/1bbac30775de/cureus-0015-00000033326-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e528/9894819/c17b62aed010/cureus-0015-00000033326-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e528/9894819/7f1c69f8ff76/cureus-0015-00000033326-i05.jpg

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本文引用的文献

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J Hum Reprod Sci. 2020 Apr-Jun;13(2):162-167. doi: 10.4103/jhrs.JHRS_143_19. Epub 2020 Jul 9.
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Torsion of the fallopian tube.输卵管扭转
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