Isolated Fallopian Tube Torsion as a Cause of Acute Abdominal Pain in Children: A Case Report

Fatemeh Amirkhanloo, S. Esmaelzadeh, Mahsima Adnani, Fatemeh Shafizadeh
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Abstract

10.30699/jogcr.7.6.578 Isolated fallopian tube torsion is a rare situation in reproductive-aged women. The gold standard for diagnosis is laparoscopic evaluation, and the treatment of choice is salpingectomy without oophorectomy to preserve fertility. Still, inpatient with a presentation of the acute abdomen or hemodynamically unstable, urgent laparotomy is the treatment of choice. Here, we reported a 15-year-old virgin girl presented with acute abdominal pain and evidence of adnexal torsion on the abdominal ultrasonography. Urgent laparotomy revealed an isolated right fallopian tube torsion. Due to irreversible necrosis of the tube, right salpingectomy was performed. It's crucial to consider isolated fallopian tube torsion as a potential cause of abdominal pain in reproductive-aged women and use appropriate diagnostic measures to diagnose it early and preserve their future fertility.
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孤立性输卵管扭转引起儿童急性腹痛1例报告
孤立性输卵管扭转在育龄妇女中较为少见。诊断的金标准是腹腔镜评估,治疗的选择是输卵管切除术而不是卵巢切除术,以保持生育能力。尽管如此,住院患者表现为急腹症或血流动力学不稳定,紧急剖腹手术是治疗的选择。在这里,我们报告了一个15岁的处女女孩,在腹部超声检查中表现为急性腹痛和附件扭转的证据。紧急剖腹探查发现孤立的右输卵管扭转。由于输卵管不可逆坏死,行右侧输卵管切除术。考虑孤立性输卵管扭转是育龄妇女腹痛的潜在原因是至关重要的,并使用适当的诊断措施及早诊断,以保护其未来的生育能力。
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93
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