Laparoscopic Management of Acute Abdomen Due To an Isolated Torsion Right Fallopian Tube Caused By Morgagni Hydatid Cyst in a Virgin Girl with 17 Years Old

Paratubal cysts are fluid-filled sacs that grow adjacent to the fallopian tube which can rarely result in torsion. Isolated fallopian tube torsion (IFTT) is a gynaecological emergency that warrants urgent laparoscopic detorsion to salvage the affected tube. IFTT has a proclivity to affect adolescents between the ages of 12 and 15 years and is rarely seen in premenarchal or perimenopausal women. Due to a lack of pathognomonical features, IFTT is difficult to diagnose. Adnexal torsion, including IFTT is a surgical diagnosis and no clinical or imaging criteria is sufficient to diagnose IFTT. Urgent laparoscopy and detorsion are required for preservation of the affected fallopian tube. However, given the diagnostic ambiguity, IFTT diagnosis is often delayed. IFTT should be included in the differential diagnoses for adolescent patients with acute abdomen when imaging demonstrates a normal appendix and ovaries. We report a 15-year-old girl with a 4-day history of abdominopelvic pain and bilateral paratubal cysts resulting in right IFTT.

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A rare reason for acute abdomen: Intraperitoneal liver hydatid cyst rupture

Digestive and Liver Disease ◽

10.1016/j.dld.2015.10.009 ◽

2016 ◽

Vol 48 (1) ◽

pp. 98-100 ◽

Cited By ~ 2

Author(s):

Zubeyir Bozdag ◽

Ahmet Turkoglu ◽

Edip Erdal Yilmaz ◽

Mesut Gul

Keyword(s):

Hydatid Cyst ◽

Acute Abdomen ◽

Liver Hydatid Cyst ◽

Hydatid Cyst Rupture ◽

Cyst Rupture

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Laparoscopic management of a large primary retroperitoneal hydatid cyst

Clinical Journal of Gastroenterology ◽

10.1007/s12328-010-0168-7 ◽

2010 ◽

Vol 3 (5) ◽

pp. 230-232 ◽

Cited By ~ 1

Author(s):

Sanjay Marwah ◽

Hemant Kamal ◽

Nisha Marwah

Keyword(s):

Hydatid Cyst ◽

Laparoscopic Management ◽

Primary Retroperitoneal ◽

Large Primary

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Laparoscopic Approach for Management of Hydatid Cyst of Liver

Journal of Nepal Health Research Council ◽

10.3126/jnhrc.v15i1.18017 ◽

2017 ◽

Vol 15 (1) ◽

pp. 67-70

Author(s):

Suman Kumar Shrestha ◽

Prabin Bikram Thapa ◽

Dhiresh Kumar Maharjan ◽

Tseten Yonjan Tamang

Keyword(s):

Hydatid Cyst ◽

Bile Leak ◽

Laparoscopic Approach ◽

Operation Time ◽

Cross Sectional Study ◽

Hepatic Hydatid Cyst ◽

Cross Sectional ◽

Laparoscopic Management ◽

Laparoscopy Surgery ◽

The Mean

Background: Laparoscopy surgery trials are small and unconvincing at present and are limited to higher centers. The objective of the study is to determine the clinical features, prevalence of site of hydatid cyst and complications of this modality of this treatment.Methods: A cross sectional study was carried out in all patients with one or two hepatic hydatid cyst who underwent laparoscopic management in KMCTH from January 2013 to March 2015 were included in the study. Aspiration, deroofing and evacuation of the hydatid cyst were done.Results: Twenty six patients underwent laparoscopic management for liver hydatid cysts. Males were seven (65.38%) and females were 9(34.61%).The mean age was 35.5±13.1 years (range 21-55years.) The commonest complaint was pain and discomfort in 13(50%) patients and lump in 6(13.06%) patients. Twenty four (92.3%) patients were successfully treated with laparoscopic approach. Two (7.69%) patients had to be converted to laparotomy because of dense adhesions and bleeding. Mean operation time was 43.6±10.6 minutes. Two (7.69%) patients had port site infection. One (3.84%) patient had bile leak and no recurrence and mortality in our series.Conclusions: Laparoscopic management of liver hydatid cyst was safe and effective in selective group of patients in equipped hospital.

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