DOI QR코드

DOI QR Code

Isolated tubal torsion in the third trimester of pregnancy managed with simultaneous salpingectomy and cesarean section

  • Park, Seong Nam (Department of Obstetrics and Gynecology, Wonkwang University School of Medicine)
  • Received : 2018.10.04
  • Accepted : 2018.11.14
  • Published : 2019.01.31

Abstract

Isolated tubal torsion is an uncommon cause of acute abdomen in pregnancy. Tubal torsion may occur in the absence of adnexal disease. Diagnosing tubal torsion is especially difficult in pregnancy because no precise preoperative radiological and biochemical investigations have been conducted. Most patients are diagnosed during surgery. Here, I present a case of isolated tubal torsion in a pregnant woman at 35 weeks and 6 days of gestation that was managed with salpingectomy and cesarean section simultaneously.

Keywords

References

  1. Regad J. Etude anatomo-pathologique de la torsion des trompets uterines. Gynecol Obstet 1933;27:519-35.
  2. Bland-Sutton J. Remarks on salpingitis and some of its effects. Lancet 1890;136:1206-9. https://doi.org/10.1016/S0140-6736(01)86101-8
  3. Provost MW. Torsion of the normal fallopian tube. Obstet Gynecol 1972;39:80-2.
  4. Comerci G, Colombo FM, Stefanetti M, Grazia G. Isolated fallopian tube torsion: a rare but important event for women of reproductive age. Fertil Steril 2008;90:1198.e23-5.
  5. Origoni M, Cavoretto P, Conti E, Ferrari A. Isolated tubal torsion in pregnancy. Eur J Obstet Gynecol Reprod Biol 2009;146:116-20. https://doi.org/10.1016/j.ejogrb.2009.05.002
  6. Simsek Y, Ustun Y, Kaymak O, Akbaba E, Danisman N, Sirvan L. Hydronephrosis of pregnancy associated with torsion of the fallopian tube: a case report. Eur Rev Med Pharmacol Sci 2011;15:448-51.
  7. ten Cate A, Han S, Vliegen AS, Lewi L, Verhaeghe J, Claus F. Conservative surgery for left-sided isolated tubal torsion in pregnancy. JBR-BTR 2011;94:212-3.
  8. Isci H, Guducu N, Gonenc G, Basgul AY. Isolated tubal torsion in pregnancy--a rare case. Clin Exp Obstet Gynecol 2011;38:272-3.
  9. Duncan RP, Shah MM. Laparoscopic salpingectomy for isolated fallopian tube torsion in the third trimester. Case Rep Obstet Gynecol 2012;2012:239352. https://doi.org/10.1155/2012/239352
  10. Bakacak M, Bakacak Z. Isolated torsion of fallopian tube complicating pregnancy: case report. Clin Exp Obstet Gynecol 2014;41:362-3.
  11. Sun Y, Liu LL, Di JM. Isolated tubal torsion in the third trimester of pregnancy: a case report and review of the literature. J Res Med Sci 2014;19:1106-9.
  12. Park BK, Kim CK, Kim B. Isolated tubal torsion: specific signs on preoperative computed tomography and magnetic resonance imaging. Acta Radiol 2008;49:233-5. https://doi.org/10.1080/02841850701687292
  13. Yalcin OT, Hassa H, Zeytinoglu S, Isiksoy S. Isolated torsion of fallopian tube during pregnancy; report of two cases. Eur J Obstet Gynecol Reprod Biol 1997;74:179-82. https://doi.org/10.1016/S0301-2115(97)00117-6
  14. Filtenborg TA, Hertz JB. Torsion of the fallopian tube. Eur J Obstet Gynecol Reprod Biol 1981;12:177-81. https://doi.org/10.1016/0028-2243(81)90074-5
  15. Aydin R, Bildircin D, Polat AV. Isolated torsion of the fallopian tube with hydrosalpinx mimicking a multiloculated ovarian cyst: whirlpool sign on preoperative sonography and MRI. J Clin Ultrasound 2014;42:45-8. https://doi.org/10.1002/jcu.22030