Essolaymany Zineb, Charifi Yahya, Aassouani Farid, El Bouardi Nizar, Haloua Meriem, Alami Badreeddine, Alaoui Lamrani Youssef, Maâroufi Mustapha, Boubbou Meryem
Radiology Department of Mother and Child, CHU Hassan II, Fez, Morocco.
Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, BP. 1893; Km 2.200, Sidi Hrazem Rd, Fez 30000, Morocco.
Radiol Case Rep. 2023 Feb 28;18(5):1754-1757. doi: 10.1016/j.radcr.2023.01.070. eCollection 2023 May.
Adnexal torsion is a common gynecological emergency and a significant cause of acute pelvic pain in women. Hydrosalpinx-induced torsion of the adnexa is a rare situation and requires prompt and accurate management. Twenty-three years old nulliparous woman admitted in our structure for acute pelvic pain. The ultrasound revealed an enlarged right ovary with an adnexal cystic mass. We suspected the diagnosis of a right adnexal torsion due to cystic ovarian mass. Laparotomy revealed torsion of the right adnexa and a second large mass appearing to be a hydrosalpinx. Diagnosis of adnexal torsion is difficult and is based on a range of arguments obtained by anamnesis, clinical examination, ultrasonography and other investigations. Early diagnosis is important for preserving tubal and ovarian function, given the risk of ovarian necrosis in young women. Laparoscopy is the gold standard for diagnosing and treating adnexal torsion. The treatment can be conservative or radical, consisting of detorsion of the twisted adnexa, with or without adnexectomy.
附件扭转是一种常见的妇科急症，也是女性急性盆腔疼痛的重要原因。输卵管积水引起的附件扭转是一种罕见情况，需要及时、准确的处理。一名23岁未生育女性因急性盆腔疼痛入住我院。超声检查显示右侧卵巢增大，伴有附件区囊性肿物。我们怀疑诊断为右侧附件扭转是由于卵巢囊性肿物所致。剖腹探查发现右侧附件扭转，还有一个似乎是输卵管积水的较大肿物。附件扭转的诊断困难，基于通过问诊、临床检查、超声检查和其他检查获得的一系列依据。鉴于年轻女性存在卵巢坏死的风险，早期诊断对于保留输卵管和卵巢功能很重要。腹腔镜检查是诊断和治疗附件扭转的金标准。治疗可以是保守的或根治性的，包括扭转附件的复位，可伴或不伴附件切除术。
