Öz
Introduction: Adnexal torsion can be often seen in reproductive age, but
can occur at any age up to postmenopausal period. Adnexal torsion accounts for
about %3 of gynecologic emergencies.
Case Presentation: A 19-year-old female presented with abdominal pain,
nausea and vomiting. Diagnostic procedures with abdominal computed-tomography
and pelvic ultrasonography suggested 110x58mm and 74x64x38 mm left-adnexial
cysts, respectively. Due to inconclusive radiologic diagnosis and suspicious
physical abdominal examination, an emergency diagnostic laparotomy was
performed. Exploratory surgery revealed a necrosed and torsioned left paratubal
cyst and torsioned but intact fallopian tube
were found. Early surgical intervention with paratubal cyst excision and
detorsion of fallopian tube ensured the preservation of fallopian tubes.
Result: Gynecologists’
attention and suspicion of rare adnexal torsions are the key factors in making
early decision and treatment success.
Anahtar Kelimeler
Kaynakça
- 1) Houry D, Abbott JT. Ovarian torsion: a fifteen-year review. Ann Emerg Med 2001; 38(2): 156-9.
- 2) Bland SJ. Remarks on salpingitis and some of its effects. Lancet 1890; 136:1146–8.
- 3) Hansen OH. Isolated torsion of the fallopian tube. Acta Obstet Gynecol Scand 1970; 49(1): 3–6.
- 4) Wong S-WA, Suen S-HS, Lao T, Chung K-HT. Isolated fallopian tube torsion: a series of six cases. Acta Obstet Gynecol Scand 2010;89(10):1354–6.
- 5) Kumari I, Kaur S, Mohan H, Huria A. Adnexal masses in pregnancy: a 5-year review. Aust N Z J Obstet Gynaecol 2006; 46(1): 52-4.
- 6) 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(4): 1198.e23.
- 7) Harmon JC, Binkovitz LA, Binkovitz LE. Isolated fallopian tube torsion: sonographic and CT features. Pediatr Radiol 2008; 38(2):175-9.
- 8) Ghossain MA, Buy JN, Bazot M. CT in adnexal torsion with emphasis on tubal findings: correlation with US. J Comput Assist Tomogr 1994; 18(4): 619-25.
- 9) Huchon C, Fauconnier A. Adnexal torsion: a literature review. Eur J Obstet Gynecol Reprod Biol 2010; 150(1): 8-12.
- 10) Oelsner G, Shashar D. Adnexal torsion. Clin Obstet Gynecol 2006; 49(3): 459-463.
Öz
Giriş: Adneksiyal torsiyonlar en sık üreme çağındaki
kadınlarda görülmekle beraber postmenapozal döneme kadar her yaşta görülebilir.
Kadınlardaki cerrahi acillerin yaklaşık
%3'ünü oluşturur.
Olgu: Karın ağrısı ve bulantı kusma şikayetleriyle başvuran
19 yaşındaki hastanın yapılan Tüm batın Tomografisinde ve pelvik USG sinde sırasıyla
110x58 mm ve 74x64x38 mm sol adneksiyel kist izlendi. Radyolojik olarak over torsiyonu
tanısı net olarak konulamayan ve fizik muayenesi şüpheli olan hastaya acil tanısal
laparotomi uygulandı. Nekroze torsiyone sol paratubal kist ve torsiyone intakt
fallop tüpü izlendi. Hastaya yapılan erken cerrahi müdahalede paratubal kist
eksizyonu ve fallop tüpünün detorsiyonu yapılarak fallop tüpünün korunması
sağlandı.
Sonuç: Nadir görülen adneksiyel torsiyonların erken tanı ve
tedavi başarısında en önemli faktör jinekologun azami dikkat ve klinik
şüphesidir
Anahtar Kelimeler
Kaynakça
- 1) Houry D, Abbott JT. Ovarian torsion: a fifteen-year review. Ann Emerg Med 2001; 38(2): 156-9.
- 2) Bland SJ. Remarks on salpingitis and some of its effects. Lancet 1890; 136:1146–8.
- 3) Hansen OH. Isolated torsion of the fallopian tube. Acta Obstet Gynecol Scand 1970; 49(1): 3–6.
- 4) Wong S-WA, Suen S-HS, Lao T, Chung K-HT. Isolated fallopian tube torsion: a series of six cases. Acta Obstet Gynecol Scand 2010;89(10):1354–6.
- 5) Kumari I, Kaur S, Mohan H, Huria A. Adnexal masses in pregnancy: a 5-year review. Aust N Z J Obstet Gynaecol 2006; 46(1): 52-4.
- 6) 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(4): 1198.e23.
- 7) Harmon JC, Binkovitz LA, Binkovitz LE. Isolated fallopian tube torsion: sonographic and CT features. Pediatr Radiol 2008; 38(2):175-9.
- 8) Ghossain MA, Buy JN, Bazot M. CT in adnexal torsion with emphasis on tubal findings: correlation with US. J Comput Assist Tomogr 1994; 18(4): 619-25.
- 9) Huchon C, Fauconnier A. Adnexal torsion: a literature review. Eur J Obstet Gynecol Reprod Biol 2010; 150(1): 8-12.
- 10) Oelsner G, Shashar D. Adnexal torsion. Clin Obstet Gynecol 2006; 49(3): 459-463.
Ayrıntılar
| Konular | Sağlık Kurumları Yönetimi |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Aralık 2017 |
| Yayımlandığı Sayı | Yıl 2017 Cilt: 48 Sayı: 4 |
