一名初产妇的多发性双侧输卵管旁囊肿和复发性双侧输卵管扭转:病例报告

Melanie Ermler , Katelyn R. Ward , Marie A. Tominna , Pavan Brahmamdam
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引用次数: 0

摘要

导言:输卵管旁囊肿是一种罕见的囊性结构,通常无症状;但在极少数情况下,它可能会导致附件扭转。她在 9 个月前曾有过右侧输卵管囊肿和扭转的病史,在一家外院接受了腹腔镜诊断、右侧输卵管疏通术和输卵管旁囊肿切除术。腹部超声显示右侧卵巢旁有一个充满液体的结构。她接受了诊断性腹腔镜检查,结果显示双侧输卵管旁5厘米的囊肿附着在双侧输卵管的缘膜上,双侧输卵管扭转。双侧卵巢和输卵管血流良好。双侧输卵管还发现有多个小囊肿从输卵管间质部萌发。手术进行了双侧剥离。大囊肿被切除,多个小囊肿被引流。我们保留了双侧输卵管和大部分纤毛。病理结果为良性输卵管旁囊肿。结论输卵管旁囊肿引起的附件扭转可发生在初产妇的儿科人群中,影响双侧输卵管,并且会复发。本病例报告旨在强调附件扭转的不寻常原因,以及如不及时诊断可能造成的危害。
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Multiple bilateral paratubal cysts and recurrent bilateral fallopian tube torsion in a premenarchal female: A case report

Introduction

Paratubal cysts are rare cystic structures that are usually asymptomatic; rarely, they may cause torsion of the adnexa.

Case presentation

We report the case of a 13-year-old premenarchal female who presented with left lower quadrant abdominal pain for 4 days. She had a history of a previous right fallopian tube cyst and torsion 9 months prior, treated at an outside hospital with diagnostic laparoscopy, right tubal detorsion, and paratubal cystectomy. Abdominal ultrasound demonstrated a right-sided para-ovarian fluid filled structure. She underwent diagnostic laparoscopy, which demonstrated bilateral 5 cm paratubal cysts attached to the fimbriae of both fallopian tubes, with bilateral fallopian tube torsion. Both ovaries and fallopian tubes had good blood flow. Both fallopian tubes also had findings of multiple small cysts budding from the tubular mesothelium. Bilateral detorsion was performed. The large cysts were excised, and the multiple small cysts were drained. We preserved both fallopian tubes and most of the fimbriae. Pathology resulted in benign paratubal cysts.

Conclusion

Adnexal torsion due to paratubal cysts can occur in the premenarchal pediatric population, affect both fallopian tubes, and recur. This case report aims to highlight unusual cause of adnexal torsion and its potential harm if not diagnosed in a timely manner.

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来源期刊
CiteScore
0.60
自引率
25.00%
发文量
348
审稿时长
15 days
期刊最新文献
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