- Nayereh Ghomian
 - - Department of Obstetrics and Gynecology, Imam Reza Hospital, Faculty of Medicine, Mashad University of Medical Sciences, Mashad, Iran
- Marzieh Lotfalizadeh
- - Department of Obstetrics and Gynecology, Imam Reza Hospital, Faculty of Medicine, Mashad University of Medical Sciences, Mashad, Iran
Received: 2/17/2008 Accepted: 9/6/2008 - Publisher : Avicenna Research Institute |
| Related Articles |
|
| Other Format |
|
|
|
Abstract
Introduction: Isolated torsion of the fallopian tubes is a rare condition. Although, it can occur at all ages, it is mostly observed during reproductive ages. Early diagnosis and urgent management of the condition is crucial to preserving the tube.Case Report: A 12-year-old premenarcheal girl presented with a sudden, severe right-sided lower abdominal pain. The pain had begun 24 hours earlier. The girl had nausea and vomiting. Abdominal examination revealed tenderness in the right lower quadrant with no palpable mass. Pelvic ultrasound showed a right adnexal mass measuring 65×35 mm and containing dense and cystic tissues with simple appearance. At laparotomy, an isolated twist of the right fallopian tube with necrosis was found, leaving no choice other than salpingectomy. Menstruation began one week following surgery.Conclusion: Isolated torsion of the fallopian tube should be considered in the differential diagnosis of acute abdominopelvic pain in premenarcheal adolescent girls. Prompt surgical intervention is necessary to preserve the fallopian tube.
Keywords:
Abdominal pain, Adnexal, Fallopian tube, Torsion, Uterine appendages To cite this article:References
- Barnes WS, Schantz JC, Shochal SJ. Torsion of the fallopian tube in a premenarcheal female patient. Am J Dis Child. 1977;(131):1297-8. [PubMed]
- Erens JP. Torsion of the normal uterine adenexa in premenarcheal girls. J Pediat Surg. 1978;(13):195-6.
- Hansen OH. Isolated torsion of the fallopian tube. Acta Obstet Gynecol Scand. 1970;(49):3-6.
- James DF, Barber HRK, Graber EA. Torsion of the normal uterine adenexa in children. Obstet Gynecol. 1970;(35):226-30. [PubMed]
- Sherman R, Greenwald JC. Torsion of undiseased fallo-pian tube in premenarchal female. NY State J Med. 1967;67(13):1900-2. [PubMed]
- Ward MJ, Frazier TG. Torsion of the normal uterine adenexa in child hood: Case report. Pediatrics. 1978; (61):573-4. [PubMed]
- Hbbard LT. Adnexal torsion. Am J Obstet Gynecol. 1985;(162):466.
- Nichols DH, Julan PY. Torsion of the adnexa. Clin Obstet Gynecol. 1985;(28):375.
- Bames WS, Schantz JC, Shochal SJ. Torsion of the fallopian tube in a premenarcheal female patient. Am J Dis child. 1977;(131):1297. [PubMed]
- Bider D, washiach M, Dultzky. Clinical, surgical and pathologic finding of adenexal torsion in pregnant and non-pregnant women. Surg Gynecol Obstet. 1991; (173):363. [PubMed]
- Chamberss JT, Thaigarajah kitchen JD. Torsion of the normal fallopian tube in pregnancy. Obstet Gynecol. 1979;(54):487. [PubMed]
- Filtenborg TA, Hertz JB. Torsion of the fallopian tube. Eur J Obstet Gynecol Reprod Biol.1981;(12):177. [PubMed]
- Provost RW. Torsion of the normal fallopian tube. Obstet Gynecol. 1972;(29):80-2. [PubMed]
- Youssef AF, Fayad M, Shafeek MA. Torsion of the fallopian tube. Acta Obstet Gynecol Scand. 1962;(41): 222-309. [PubMed]
- Trevor D, lineberry MD, Humberto R. Isolated torsion of the fallopian tube in an adolescent: a case Report. J pediatr Adolesc Gynecol. 2000;(13):135-8.
- Knupp JF, Cunnion KM, Dolun MA. Case records of medical college of Virginia: a 10-years-old girl pre-senting with an acute abdominal pain. Pediatr Emerg care. 1996;(12):52. [PubMed]
- Von woorhis BJ, Schwaiger J, Syrop CH. Early diag-nosis of ovarian torsion by color Doppler ultrasono-graphy. Fertil Steril. 1992;(58):215. [PubMed]
- Pena J, Ulfbery D, Cooney N. Usefulness of doppler ultrasonography in the diagnosis of ovarian torsion. Fertil Steril. 2000;(73):1047. [PubMed]
- Lee EJ, Kwon HC, Joo Hy. Diagnosis of ovarian torsion with color Doppler sonography: depiction of twisted vascular pedicle. J Ultrasound Med. 1998;(17): 83-9. [PubMed]
- Brind L, Sandhya J. Torsion of the Fallopain tube in an adolescent female, A Case Report. J Pediatr Adolesc Gynecol. 2002;15(3):159-61.
- Cass DL, Hawkins E, Brandt ML. Surgery for ovarian masses in infants, children and adolescents: 102 conse-cutive patients treated in a 15-year period. J Pediatr Surg. 2001(36):693-9. [PubMed]
- Templeman C, Fallat ME, Blinchevsky A, Non inflam-matory ovarian masses in girls and young women. Obstet Gynecol. 2000;(96):229-33. [PubMed]
- Meyer JS, Harmon CM, Harty MP, Markowitz RI, Hubbard AM, Bellah RD. Ovarian torsion: clinical and imaging presentation in children. J Pediatr Surg. 1995; 30(10):1433-6. [PubMed]
- Kokoska ER, Keller MS, Weber TR. Acute ovarian torsion in children. Am J Surg. 2000;(80):462-5. [PubMed]
- Steyaert H, Meynd F, Valla JS. Torsion of the ade-nexa in children: the value of laparoscopy. Pediatr Surg Int. 1998;(13):384-7. [PubMed]
- Davis AJ, Fains NR. Subsequent asynchronous torsion of normal adenex in children. J Pediatr Surg. 1990; (25):687. [PubMed]