Isolated torsion of a fallopian tube: an uncommon cause of abdominal pain in an 11-year-old

2021 ◽  
Vol 14 (8) ◽  
pp. e243947
Author(s):  
Victória Leones de Matos ◽  
Inês Pessanha ◽  
Daniela Agostinho David ◽  
Inês Gante
Keyword(s):  
Abdominal Pain ◽  
Fallopian Tube ◽  
Adolescent Girls ◽  
Rare Case ◽  
Lower Abdominal Pain ◽  
Ideal Approach ◽  
Post Operation ◽  
Left Fallopian Tube ◽  
Exploratory Laparoscopy ◽  
The Ideal

This report describes a rare case of isolated fallopian tube torsion (IFTT) in a premenarchal 11-year-old girl. The patient presented with subacute abdominal pain, associated with nausea and vomiting. Sonographic findings revealed left tube enlargement with free intraperitoneal fluid. Doppler mapping was not unequivocal. During exploratory laparoscopy, a large pelvic necrotic mass was found to be a twisted left fallopian tube. After detorsion, salpingectomy was performed and the patient recovered promptly, showing no complications 3 months post operation. IFTT should be considered as a differential diagnosis of lower abdominal pain in adolescent girls with normal-appearing ovaries on ultrasound. Conservative management for fertility preservation is the ideal approach. Therefore, avoiding delay in laparoscopy is crucial.

scholarly journals Post hysterectomy fallopian tube prolapse: a rare case

2019 ◽  
Vol 8 (2) ◽  
pp. 769
Author(s):  
Priya S. ◽  
Sarojamma C. ◽  
Sailakshmi M. P. A.
Keyword(s):  
Abdominal Pain ◽  
Sexual Activity ◽  
Fallopian Tube ◽  
Rare Case ◽  
Abdominal Hysterectomy ◽  
Definitive Diagnosis ◽  
Vaginal Vault ◽  
Prophylactic Salpingectomy

Fallopian tube prolapse into the vaginal vault is a very complication of hysterectomy where the adnexa is preserved. The overall occurrence after all routes of hysterectomy is 0.01-0.05%. Several factors have been suggested to contribute to the condition such as vault hematoma, improper closure of vault, early resumption of sexual activity. Due to the misdiagnosis, there is often delay in the diagnosis and its management. The only means of definitive diagnosis is histopathology. A 30-year-old P2l2 presented to us after 3 years of post-hysterectomy with abdominal pain and bleeding pv on and off. On examination prolapsed fallopian tube was found in the vaginal vault on speculum. Biopsy was done in the outside hospital and was confirmed to be the tube. Patient underwent combined laparoscopic and vaginal method. Vaginal excision of the tube was done. Prevention by prophylactic salpingectomy and by suturing the adnexa high up in the pelvis in abdominal hysterectomy.

scholarly journals Laparoscopic transabdominal preperitoneal repair of concurrent spigelian and groin hernias: a rare case

2021 ◽  
Vol 8 (7) ◽  
pp. 2244
Author(s):  
Aditya C. Oak ◽  
Vishakha R. Kalikar ◽  
Ankur K. Patel ◽  
Roy V. Patankar
Keyword(s):  
Abdominal Pain ◽  
Mesh Repair ◽  
Rare Case ◽  
Lower Abdominal Pain ◽  
Abdominal Wall Hernia ◽  
Spigelian Hernia ◽  
Preperitoneal Repair ◽  
Rare Type ◽  
Direct Hernia ◽  
Groin Hernias

Spigelian hernia is a rare type of abdominal wall hernia due to congenital defect in the transversus aponeurosis fascia. It has a prevalence of 2%. Traditionally, an anterior hernioplasty was used to repair these defects. Only a few cases have been reported in the literature. Here we discuss a case of a 66 year old female with chronic lower abdominal pain with swelling in left inguinal area diagnosed with spigelian hernia on ct scan along with left direct hernia as well as left femoral hernia found incidentally and repaired using totally extra peritoneal single mesh repair.

scholarly journals Isolated twisted hematosalphinx misleading with ovarian cyst torsion

2019 ◽  
Vol 8 (3) ◽  
pp. 1219
Author(s):  
Vaibhav Khairnar ◽  
Shalini Mahana Valecha ◽  
Pandeeswari .
Keyword(s):  
Acute Abdomen ◽  
Fallopian Tube ◽  
Ovarian Cyst ◽  
Rare Case ◽  
Delayed Diagnosis ◽  
Lower Abdominal Pain ◽  
Clinical Findings ◽  
Reproductive Age ◽  
High Risk Factors ◽  
Acute Pelvic Pain

Normal or chronically inflamed fallopian tube can undergo torsion and present as acute abdomen, simulating clinically as ectopic gestation. Torsion of the fallopian tube is less frequent but significant cause of lower abdominal pain in reproductive age women that is difficult to recognize preoperatively. Authors present a rare case of hematosalpinx with torsion at its pedicle with hemoperitonium who presented as 28 years old female with acute abdomen that was successfully treated. In cases presenting with hemoperitoneum diagnosis of ruptured ectopic pregnancy should be made unless proved otherwise during reproductive age. Rarely ruptured ovarian cyst may also be a cause. Unfortunately, hematosalpinx sometimes can undergo torsion due to circulatory imbalance and can present as hemoperitoneum and circulatory collapse due to rupture. There have been no specific symptoms, clinical findings, imaging or laboratory characteristics identified for this condition. Imaging findings are non-specific in the preoperative diagnosis of torsed fallopian tubes. Therefore, most of cases with isolated fallopian tubal torsion had a delayed diagnosis and a subsequent delay of timely intervention that may result in failure to save tubal function. Torsion of tube can lead to hematosalpinx, hemoperitonium and necrosis of tube which necessitates urgent surgical management. This case report describes a twisted hematosalpinx presentation without any predisposing high-risk factors. A tubal torsion should be suspected in females with acute pelvic pain, of any age group. An early diagnosis and treatment are required to prevent complications. This rare case may highlight a new insight into pathogenesis of tubal torsion associated with hematosalpinx.

Hydrosalpinx in adolescent girls: What did two cases teach?

2021 ◽  
Author(s):  
Ahmet Hikmet Şahin
Keyword(s):  
Abdominal Pain ◽  
Adolescent Girls ◽  
Cystic Lesion ◽  
Lower Abdominal Pain ◽  
Fallopian Tubes ◽  
Abdominal Ultrasonography ◽  
Palpable Mass ◽  
Abdominal Magnetic Resonance Imaging ◽  
First Case ◽  
Abdominal Exploration

Hydrosalphinx is the fallopian tubes getting filled with fluid due to their blockage. It usually occurs with obstruction of fallopian tubes after infection in women of sexually active age. The aim of this article is to draw attention to hydrosalpinx in adolescent girls because of two adolescent cases. First case; a cystic lesion of 38x51x76 mm in the right adnexal region was detected in the lower abdominal magnetic resonance imaging of a 13-year-old girl who presented with the complaint of abdominal pain and vomiting. Right tubal torsion and hydrosalpinx were detected during abdominal exploration. The tube was detorsioned and marsupialization was applied to the hydrosalpinx. Second case; a cystic lesion with dimensions of 24x12x35 cm was detected in the abdominal ultrasonography of a 16-year-old girl who presented with the complaint of abdominal pain and a palpable mass. On abdominal exploration, a right hydrosalpinx filling the entire abdomen was detected. Tubal excision was performed. Both cases have not been undergone any intraabdominal surgery previously. Hydrosalpinx is very rare in adolescent girls. Hydrosalpinx also should be considered in lower abdominal pain. Cases should be examined in terms of preventing infertility problems in future carefully, development of adhesion should be curtailed and parents should be informed in detail.

scholarly journals Isolated fallopian tube torsion in an adolescent: a diagnostic challenge

2020 ◽  
Vol 10 (1) ◽  
pp. 340
Author(s):  
Leonor Bivar ◽  
Ana Castro ◽  
Neusa Teixeira
Keyword(s):  
Abdominal Pain ◽  
Fallopian Tube ◽  
Transvaginal Ultrasound ◽  
Rare Event ◽  
Lower Abdominal Pain ◽  
Cystic Mass ◽  
Diagnostic Challenge ◽  
Ovarian Involvement ◽  
Delayed Intervention

Torsion of the fallopian tube without ovarian involvement is an extremely rare event and often difficult to diagnose, but noteworthy, cause of lower abdominal pain. The authors describe a case related to a 14- year-old adolescent with acute lower abdominal pain and vomiting presented to the gynaecological emergency department. Blood tests exhibited modest biochemical parameters of inflammation and a transvaginal ultrasound showed a left adnexal tubular cystic mass with normal ovarian appearance. A diagnostic laparoscopy revealed an isolated fallopian tube torsion. The tube was able to be untwisted with restoration of pelvic anatomy and the follow-up was uneventful. The authors describe a challenging diagnosis in an adolescent in which delayed intervention could compromise her reproductive future. Tubal torsion should however be kept in mind in the differential diagnosis of lower abdominal pain in women of all ages.

scholarly journals Isolated fallopian tube torsion with paraovarian cysts: a case report and literature review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Liang Qian ◽  
Xue Wang ◽  
Dingheng Li ◽  
Songyi Li ◽  
Jiashan Ding
Keyword(s):  
Abdominal Pain ◽  
Literature Review ◽  
Fallopian Tube ◽  
Lower Abdominal Pain ◽  
Histopathological Diagnosis ◽  
Common Procedure ◽  
Delay In Diagnosis ◽  
Paraovarian Cyst ◽  
History Of ◽  
The Right

Abstract Background Isolated fallopian tube torsion (IFTT) is a rare cause of gynecological acute abdomen, is easily misdiagnosed and often has a delay in diagnosis. IFTT with paraovarian cysts is most frequently reported in studies. Here, we reported a patient diagnosed with IFTT associated with a paraovarian cyst, and we conducted a literature review for IFTT, aiming to identify valuable information that will be helpful for diagnosis and treatment for fallopian tube torsions. Case presentation A 13-year-old girl presented with a 10-day history of right lower abdominal pain that worsened 2 days before presentation. On presentation, ultrasound showed a 5.8 * 5.5 cm hypoechoic cyst adjacent to the right ovary, and between the cyst and ovary, a tortuous thickened tube was visualized. Laparoscopy revealed a triple torsion of the right fallopian tube with a 6-cm paraovarian cyst, and tubal conservation surgery was performed. The postoperative course was uneventful. Histopathological diagnosis revealed serous papillary cystadenoma. Conclusion Paraovarian cystic dilatation often occurs in adolescence and can induce fallopian torsion when the size of the cyst reaches 5-cm. In our review, the median age of patients diagnosed with IFTT with paraovarian cysts was 15 years old, and the main clinical manifestation was emergency abdominal pain. The associated symptoms were variable, and vomiting was the most commonly associated symptom. Salpingectomy was the most common procedure performed; however, timely surgical intervention can effectively avoid salpingectomy.

scholarly journals A rare case of fallopian tube lymphangioma

2020 ◽  
Vol 9 (12) ◽  
pp. 5169
Author(s):  
Srikala Doddareddy ◽  
Shravya Manohar ◽  
Sumana Manohar
Keyword(s):  
Fallopian Tube ◽  
Rare Case ◽  
Lymphatic System ◽  
Abdominal Mass ◽  
Lower Abdominal Pain ◽  
Neck Region ◽  
Head And Neck Region ◽  
Rare Lesion ◽  
The Right ◽  
Palpable Abdominal Mass

Lymphangioma of the fallopian tube is a very rare lesion, usually present as benign lesions of the lymphatic system. They are generally diagnosed incidentally, may be asymptomatic or present as a palpable abdominal mass. Lymphangiomas are usually seen in the head and neck region, intra-abdominal localisation is rare. A very limited number of cases of fallopian tube lymphangiomas have been reported. We present an extremely rare case of unilateral fallopian tube lymphangioma (right side) in a 32 year old parous lady who was presented to us with right lower abdominal pain. Clinically no significant findings were noted. CECT abdomen reported as a probable endometriotic cyst. On laparoscopy she was found to have a cystic lesion arising from the right fallopian tube. Patient underwent right salphingo-oophorectomy and histopathology reported as lymphangioma of the fallopian tube.

scholarly journals Torsion of Hydrosalpinx with Concurrent Acute Cholecystitis: Case Report and Review of Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Preeti R. John ◽  
Amelia M. Pasley
Keyword(s):  
Abdominal Pain ◽  
Acute Cholecystitis ◽  
Fallopian Tube ◽  
Bladder Wall ◽  
Age Groups ◽  
Lower Abdominal Pain ◽  
Abdominal Ultrasound ◽  
Acute Calculous Cholecystitis ◽  
Upper Abdominal ◽  
The Right

Introduction.Isolated torsion of the Fallopian tube is an uncommon cause of acute lower abdominal pain and can occur in women of all age groups. Cholecystitis is a frequent cause of upper abdominal pain. We present an unusual case with the presence of these two distinct pathological entities occurring concurrently in the same patient, causing simultaneously occurring symptoms. To our knowledge, this is the first reported presentation of such a case.Methods.We describe a 34-year-old premenopausal woman who presented with right sided upper and lower abdominal pain and nausea. Abdominal ultrasound (US) revealed acute cholecystitis. Vaginal US was suggestive of right hydrosalpinx. Intravenous antibiotics were administered and consent was obtained for operative intervention. During laparoscopy, the right Fallopian tube with hydrosalpinx was noted to be twisted three times. The right ovary appeared normal. The gall bladder wall was thickened and inflamed. Laparoscopic right salpingectomy and cholecystectomy were performed.Results.Surgical pathology revealed hydrosalpinx with torsion and acute calculous cholecystitis. The patient had an uneventful postoperative course and was discharged home on the first postoperative day. Her symptoms resolved after the procedure.Conclusions.In women with abdominal pain, both gynecologic and nongynecologic etiologies should be considered in the differential diagnoses. Concurrent presence of symptomatic gynecologic and nongynecologic intra-abdominal pathology is rare. Isolated Fallopian tube torsion is rare and is associated most often with hydrosalpinx. Some torqued Fallopian tubes can be salvaged. Laparoscopy is useful in management of both Fallopian tube torsion and cholecystitis.

scholarly journals Cryptomenorrhea Secondary to Past Childhood Pelvic Trauma in Young Adolescent Girls: Case Series

2019 ◽  
Vol 01 (03) ◽  
pp. 119-121
Author(s):  
Syeda Batool Mazhar ◽  
Javeria Mumtaz ◽  
Qurratulain Saeed ◽  
Farzana Nawaz
Keyword(s):  
Abdominal Pain ◽  
Urinary Retention ◽  
Adolescent Girls ◽  
Diagnostic Laparoscopy ◽  
Case Series ◽  
Lower Abdominal Pain ◽  
Pelvic Trauma ◽  
Young Adolescent ◽  
Primary Amenorrhea ◽  
Detailed History

Primary amenorrhea secondary to childhood pelvic trauma is very rare. We report two cases of adolescent girls with cryptomenorrhoea. Case 1 presented at 14 years of age with primary amenorrhea and cyclical lower abdominal pain for 1 year. She was run over by a tractor when she was three years old. Ultrasonography pelvis showed hematometra. Examination under anesthesia with diagnostic laparoscopy proceed laparotomy revealed uterine avulsion at level of isthmus. The second case presented at 13 years of age with urinary retention. Catheterization was not possible due to malpositioning of urethra so suprapubic catheterization was performed by urologists. Ultrasonography pelvis revealed hematocolpos. Detailed history revealed run over injury by a vehicle when she was two years old. Examination under anesthesia showed obstruction due to adhesions high up in vagina which were divided.

scholarly journals Genital schistosomiasis mansoni: tubal tumor and parietal peritoneum involvement diagnosed during laparoscopy

2009 ◽  
Vol 42 (5) ◽  
pp. 583-586 ◽  
Author(s):  
José Roberto Lambertucci ◽  
Quésia Tamara Mirante Ferreira Villamil ◽  
Daniela Savi ◽  
Ilveu Cosme Dias
Keyword(s):  
Abdominal Pain ◽  
Fallopian Tube ◽  
Histological Analysis ◽  
Medical Literature ◽  
Lower Abdominal Pain ◽  
Full Recovery ◽  
Parietal Peritoneum ◽  
Schistosomiasis Mansoni ◽  
Future Reproduction ◽  
Female Genital

Female genital schistosomiasis is not uncommon in endemic areas for schistosomiasis, but there are few reports in the Brazilian medical literature. Here, we describe the case of a 31-year-old woman with lower abdominal pain who was diagnosed as presenting a fallopian tube tumor caused by Manson's schistosomiasis. The diagnosis was delayed because her symptoms were considered nonspecific. Involvement of the parietal peritoneum of the ovarian fossa was observed during laparoscopy and confirmed by histological analysis. The left tube and the tumor were excised and schistosomiasis was treated with praziquantel. She presented a full recovery and options for future reproduction are under evaluation.

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