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Hydrosalpinx with adnexal torsion in an adult patient–A case report
Adnexal torsion is a common gynecological emergency and a significant cause of acute pelvic pain in women. Hydrosalpinx-induced torsion of the adnexa is a rare situation and requires prompt and accurate management. Twenty-three years old nulliparous woman admitted in our structure for acute pelvic p...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10006302/ https://www.ncbi.nlm.nih.gov/pubmed/36915602 http://dx.doi.org/10.1016/j.radcr.2023.01.070 |
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author | Essolaymany, Zineb Charifi, Yahya Aassouani, Farid El Bouardi, Nizar Haloua, Meriem Alami, Badreeddine Alaoui Lamrani, Youssef Maâroufi, Mustapha Boubbou, Meryem |
author_facet | Essolaymany, Zineb Charifi, Yahya Aassouani, Farid El Bouardi, Nizar Haloua, Meriem Alami, Badreeddine Alaoui Lamrani, Youssef Maâroufi, Mustapha Boubbou, Meryem |
author_sort | Essolaymany, Zineb |
collection | PubMed |
description | Adnexal torsion is a common gynecological emergency and a significant cause of acute pelvic pain in women. Hydrosalpinx-induced torsion of the adnexa is a rare situation and requires prompt and accurate management. Twenty-three years old nulliparous woman admitted in our structure for acute pelvic pain. The ultrasound revealed an enlarged right ovary with an adnexal cystic mass. We suspected the diagnosis of a right adnexal torsion due to cystic ovarian mass. Laparotomy revealed torsion of the right adnexa and a second large mass appearing to be a hydrosalpinx. Diagnosis of adnexal torsion is difficult and is based on a range of arguments obtained by anamnesis, clinical examination, ultrasonography and other investigations. Early diagnosis is important for preserving tubal and ovarian function, given the risk of ovarian necrosis in young women. Laparoscopy is the gold standard for diagnosing and treating adnexal torsion. The treatment can be conservative or radical, consisting of detorsion of the twisted adnexa, with or without adnexectomy. |
format | Online Article Text |
id | pubmed-10006302 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-100063022023-03-12 Hydrosalpinx with adnexal torsion in an adult patient–A case report Essolaymany, Zineb Charifi, Yahya Aassouani, Farid El Bouardi, Nizar Haloua, Meriem Alami, Badreeddine Alaoui Lamrani, Youssef Maâroufi, Mustapha Boubbou, Meryem Radiol Case Rep Case Report Adnexal torsion is a common gynecological emergency and a significant cause of acute pelvic pain in women. Hydrosalpinx-induced torsion of the adnexa is a rare situation and requires prompt and accurate management. Twenty-three years old nulliparous woman admitted in our structure for acute pelvic pain. The ultrasound revealed an enlarged right ovary with an adnexal cystic mass. We suspected the diagnosis of a right adnexal torsion due to cystic ovarian mass. Laparotomy revealed torsion of the right adnexa and a second large mass appearing to be a hydrosalpinx. Diagnosis of adnexal torsion is difficult and is based on a range of arguments obtained by anamnesis, clinical examination, ultrasonography and other investigations. Early diagnosis is important for preserving tubal and ovarian function, given the risk of ovarian necrosis in young women. Laparoscopy is the gold standard for diagnosing and treating adnexal torsion. The treatment can be conservative or radical, consisting of detorsion of the twisted adnexa, with or without adnexectomy. Elsevier 2023-02-28 /pmc/articles/PMC10006302/ /pubmed/36915602 http://dx.doi.org/10.1016/j.radcr.2023.01.070 Text en © 2023 Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Essolaymany, Zineb Charifi, Yahya Aassouani, Farid El Bouardi, Nizar Haloua, Meriem Alami, Badreeddine Alaoui Lamrani, Youssef Maâroufi, Mustapha Boubbou, Meryem Hydrosalpinx with adnexal torsion in an adult patient–A case report |
title | Hydrosalpinx with adnexal torsion in an adult patient–A case report |
title_full | Hydrosalpinx with adnexal torsion in an adult patient–A case report |
title_fullStr | Hydrosalpinx with adnexal torsion in an adult patient–A case report |
title_full_unstemmed | Hydrosalpinx with adnexal torsion in an adult patient–A case report |
title_short | Hydrosalpinx with adnexal torsion in an adult patient–A case report |
title_sort | hydrosalpinx with adnexal torsion in an adult patient–a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10006302/ https://www.ncbi.nlm.nih.gov/pubmed/36915602 http://dx.doi.org/10.1016/j.radcr.2023.01.070 |
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