Hockberger R F, Sternbach G
Division of Emergency Medicine, University of Chicago Hospitals and Clinics, Illinois 60637.
JACEP. 1978 Aug;7(8):315-7. doi: 10.1016/s0361-1124(78)80196-8.
Although an infrequent cause of acute lower abdominal pain, fallopian tube torsion should be considered whenever a woman presents with this complaint. Early diagnosis and surgical intervention may save a tube that has not yet infarcted, yet initial presentation may give little indication of the seriousness of the condition until peritonitis develops. Definitive treatment is removal of the affected adnexa. Diminished fertility and an increased incidence of ectopic pregnancy in the remaining fallopian tube follows unilateral salpingectomy. A case history of fallopian tube torsion is presented.
虽然输卵管扭转是引起急性下腹痛的少见原因，但当女性出现此类症状时均应考虑到该病。早期诊断并进行手术干预可能挽救尚未梗死的输卵管，然而在腹膜炎发生之前，最初的表现可能几乎无法显示病情的严重性。确切的治疗方法是切除患侧附件。单侧输卵管切除术后，对侧输卵管的生育能力会下降，宫外孕的发生率会增加。本文介绍了一例输卵管扭转的病例。
