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

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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Primary Amenorrhoea with Transverse Vaginal Septum Presented with Infected Pyometra of 24 Weeks Size

Nepal Journal of Obstetrics and Gynaecology ◽

10.3126/njog.v12i1.18986 ◽

2018 ◽

Vol 12 (1) ◽

pp. 66-68

Author(s):

Rekha Paudel ◽

Ganesh Dangal ◽

Aruna Karki ◽

Hema Pradhan ◽

Ranjana Shrestha ◽

...

Keyword(s):

Abdominal Pain ◽

Abdominal Mass ◽

Lower Abdominal Pain ◽

Sex Characteristics ◽

Vaginal Septum ◽

Primary Amenorrhoea ◽

Tanner Staging ◽

Secondary Sex Characteristics ◽

Transverse Vaginal Septum ◽

Female Genital

Transverse vaginal septum is a congenital anomaly of the female genital outflow tract. It mostly remains unrecognized till adolescence and manifests as primary amenorrhoea with cyclic lower abdominal pain in background of appropriate Tanner staging secondary sex characterstics. Diagnosis is done by clinical examination and imaging, usually Magnetic Resonance Imaging. Early surgical management by vaginal or abdominal approaches improves the outcome. A 16 years, adolescent with appropriate Tanner staging secondary sex characteristics presented to gynecology (OPD) of Kathmandu Model Hospital with complaints of primary amenorrhoea and palpable abdominal mass of 24 weeks size with cyclic lower abdominal pain. Ultrasound showed features suggestive of hematometra. Under spinal anaesthesia, drainage and excision of the transverse vaginal septum was done followed by placement of vaginal mould post-operatively. We present here a case of primary amenorrhoea with pyometra secondary to transverse vaginal septum.

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Isolated fallopian tube torsion in an adolescent: a diagnostic challenge

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20205794 ◽

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.

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

BMC Women s Health ◽

10.1186/s12905-021-01483-2 ◽

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.

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

Case Reports in Surgery ◽

10.1155/2016/5424092 ◽

2016 ◽

Vol 2016 ◽

pp. 1-4 ◽

Cited By ~ 1

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.

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Ectopic pregnancy in the ampulla of the fallopian tube at 16 gestational weeks: lessons from a case report

African Health Sciences ◽

10.4314/ahs.v20i4.47 ◽

2020 ◽

Vol 20 (4) ◽

pp. 1895-7

Author(s):

Nnabuike Chibuoke Ngene ◽

Ongombe Lunda

Keyword(s):

Abdominal Pain ◽

Ectopic Pregnancy ◽

Fallopian Tube ◽

Haemoglobin Concentration ◽

Lower Abdominal Pain ◽

First Trimester ◽

Tubal Pregnancy ◽

Emergency Laparotomy ◽

History Of ◽

The Right

Background: It is uncommon to find ampullary tubal pregnancy in the second trimester. Methods: A 35-year-old G4P3 at 16 gestational weeks presented with a day history of sudden severe lower abdominal pain and no vaginal bleeding. The patient had a normal pulse of 82/minutes, haemoglobin concentration of 6.3 g/dl and ultrasonography showed an empty uterus with an alive fetus in the right adnexa. She was provisionally diagnosed to have an abdominal pregnancy. Results: The patient had an emergency laparotomy where 2.2 L of haemoperitoneum and a slow-leaking right ampullary tubal pregnancy were found. Right total salpingectomy was performed and she had an uncomplicated post-operative fol- low-up. Histology of the lesion confirmed tubal pregnancy. Conclusion: The growth of a pregnancy in the ampulla beyond the first trimester is possibly due to increased thickness and or distensibility of the fallopian tube. A tubal pregnancy may present with a normal pulse despite significant haemorrhage. Keywords: Abdominal pain; ampullary tubal ectopic pregnancy; Bezold–Jarish-like reflex.

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Torsion hematosalpinx concurrent with acute appendicitis

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20213872 ◽

2021 ◽

Vol 10 (10) ◽

pp. 3973

Author(s):

Vishwa G. Kanabar ◽

Ravi N. Kotecha ◽

Ramesh Thakan

Keyword(s):

Abdominal Pain ◽

Acute Appendicitis ◽

Fallopian Tube ◽

Diagnostic Laparoscopy ◽

Iliac Fossa ◽

Lower Abdominal Pain ◽

Acute Onset ◽

Cystic Mass ◽

Diagnostic Dilemma ◽

Ovarian Pathology

Isolated fallopian tube torsion is very rare which is reported to be 1 in 1.5 million women. Fallopian tube torsion is commonly associated with hydrosalpinx, hematosalpinx or paratubal cysts such as hydatids of Morgagni. Fallopian tube torsion generally presents a diagnostic dilemma because symptoms and signs mimics ovarian torsion such as acute lower abdominal pain, vomiting, tenderness on palpation but ultrasound may show normal ipsilateral ovary. Right sided adnexal torsion may be difficult to differentiate from acute appendicitis clinically. In such cases ultrasound is helpful but diagnostic laparoscopy is gold standard. We encountered a rare case of torsion hematosalpinx concurrent with acute appendicitis. Patient was presented with acute onset severe lower abdominal pain associated with vomiting and tenderness in right iliac fossa. It was diagnosed as acute tip appendicitis and right adnexal cystic mass either hydrosalpinx/hematosalpinx in ultrasonography. Laparoscopy was done and it was found to be right sided torsion hematosalpinx along with inflamed tip of appendix. Right sided salpingectomy and appendicectomy was done laparoscopically. Fallopian tube torsion should be suspected and diagnostic laparoscopy should be considered in cases of acute onset lower abdominal pain in which ovarian pathology was not found in ultrasonography, that helps in earlier intervention and even in early cases fallopian tube can be salvaged.

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Torsion of a fallopian tube: a rare cause of lower abdominal pain in a female of reproductive age

Sri Lanka Journal of Obstetrics and Gynaecology ◽

10.4038/sljog.v33i2.4009 ◽

2012 ◽

Vol 33 (2) ◽

pp. 63 ◽

Cited By ~ 1

Author(s):

Janitha R Costa ◽

James Moohan

Keyword(s):

Abdominal Pain ◽

Fallopian Tube ◽

Lower Abdominal Pain ◽

Reproductive Age

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

BMJ Case Reports ◽

10.1136/bcr-2021-243947 ◽

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.

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Isolated Fallopian Tube Torsion

Case Reports in Obstetrics and Gynecology ◽

10.1155/2013/479698 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3

Author(s):

S. Kardakis ◽

A. Barranca ◽

A. Vitelli ◽

I. Amore ◽

F. Trento ◽

...

Keyword(s):

Abdominal Pain ◽

Fallopian Tube ◽

Pelvic Pain ◽

Lower Abdominal Pain ◽

Laboratory Findings ◽

Clinical Imaging ◽

Adnexal Masses ◽

Preoperative Ultrasound ◽

Cystic Component ◽

Acute Pelvic Pain

Isolated torsion of the Fallopian tube is a rare gynecological cause of acute lower abdominal pain, and diagnosis is difficult. There are no pathognomonic symptoms; clinical, imaging, or laboratory findings. A preoperative ultrasound showing tubular adnexal masses of heterogeneous echogenicity with cystic component is often present. Diagnosis can rarely be made before operation, and laparoscopy is necessary to establish the diagnosis. Unfortunately, surgery often is performed too late for tube conservation. Isolated Fallopian tube torsion should be suspected in case of acute pelvic pain, and prompt intervention is necessary.

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