ISOLATED TORSION OF BILATERAL FALLOPIAN TUBES COMBINED WITH TUBAL ENDOMETRIOSIS: A CASE REPORT
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Torsion of the fallopian tube is less frequent. Indeed, isolated bilateral fallopian tube torsion is rare and often diffi cult to diagnose. The etiology of fallopian tube torsion is still uncertain, especially when this is not associated with torsion of the ovary. We present a case of the torsion of isolated bilateral fallopian tube combined with tubal endometriosis. A 30-year-old woman presented with chronic abdominal pain of 5-month duration and severe dysmenorrhea. Presumptive diagnosis by ultrasound and magnetic resonance imaging was both adnexal endometriosis. At laparoscopy, the fi mbrial ends of both tubes were dilated, twisted and necrotic changes with adhesion to omentum, which subsequently led to terminal obstruction of that tube. However, both ovaries and uterus were normal. Laparoscopic bilateral salpingectomy was performed. The postoperative histological report confi rmed hematosalpinx with tubal endometriosis. To our knowledge, this is the fi rst case of isolated and bilateral fallopian tubes torsion combined with tubal endometriosis.
Abstract
Torsion of the fallopian tube is less frequent. Indeed, isolated bilateral fallopian tube torsion is rare and often diffi cult to diagnose. The etiology of fallopian tube torsion is still uncertain, especially when this is not associated with torsion of the ovary. We present a case of the torsion of isolated bilateral fallopian tube combined with tubal endometriosis. A 30-year-old woman presented with chronic abdominal pain of 5-month duration and severe dysmenorrhea. Presumptive diagnosis by ultrasound and magnetic resonance imaging was both adnexal endometriosis. At laparoscopy, the fi mbrial ends of both tubes were dilated, twisted and necrotic changes with adhesion to omentum, which subsequently led to terminal obstruction of that tube. However, both ovaries and uterus were normal. Laparoscopic bilateral salpingectomy was performed. The postoperative histological report confi rmed hematosalpinx with tubal endometriosis. To our knowledge, this is the fi rst case of isolated and bilateral fallopian tubes torsion combined with tubal endometriosis.
참고문헌 (8)
- Rizk DE, "Torsion of the fallopian tube in an adolescent female: a case report", J Pediatr Adolesc Gynecol, 15, pp.159~161 (2002)
- Comerci G, "Isolated fallopian tube torsion: a rare but important event for women of reproductive age", Fertil Steril, 90, pp.23~25 (2008)
- Wong SW, "Isolated fallopian tube torsion: a series of six cases", Acta Obstet Gynecol Scand, 89, pp.1354~1356 (2010)
- Ohara N, "Isolated torsion of haematosalpinx associated with tubal endometriosis", J Obstet Gynaecol, 23, pp.453~454 (2003)
- Youssef AF, "Torsion of the fallopian tube. A clinico-pathological study", Acta Obstet Gynecol Scand, 41, pp.292~309 (1962)
- Phillips K, "Chronic isolated fallopian tube torsion", Fertil Steril, 92(394), pp.1~3 (2009)
- van der Zanden M, "Isolated torsion of the fallopian tube: a case report and review of the literature", Eur J Pediatr, 170, pp.1329~1332 (2011)
- Lo LM, "Clinical manifestations in women with isolated fallopian tubal torsion; a rare but important entity", Aust N Z J Obstet Gynaecol, 51, pp.244~247 (2011)