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Not every twist is ovarian torsion: a case report of isolated torsion of the fallopian tube in a child

Isolated fallopian tube torsion is a rare condition presenting with abdomen pain. The diagnosis is challenging because the clinical findings mimic several other conditions. In this article, we present a case of an adolescent girl who was diagnosed with the condition during laparoscopy. PRESENTATION...

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Autores principales: Awal, Shila, Regmi, Pradeep Raj, Prajapati, Nabin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10406029/
https://www.ncbi.nlm.nih.gov/pubmed/37554874
http://dx.doi.org/10.1097/MS9.0000000000001059
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author Awal, Shila
Regmi, Pradeep Raj
Prajapati, Nabin
author_facet Awal, Shila
Regmi, Pradeep Raj
Prajapati, Nabin
author_sort Awal, Shila
collection PubMed
description Isolated fallopian tube torsion is a rare condition presenting with abdomen pain. The diagnosis is challenging because the clinical findings mimic several other conditions. In this article, we present a case of an adolescent girl who was diagnosed with the condition during laparoscopy. PRESENTATION OF THE CASE: A 15-year-old girl presented with complaints of sudden onset left lower quadrant pain, nausea, and vomiting. There was tenderness in the left iliac fossa. Ultrasonography revealed inconclusive findings and contrast-enhanced computed tomography of the abdomen and pelvis suggested possible left adnexal torsion. Hence, she underwent a diagnostic laparoscopy which revealed a twisted, edematous, and congested left fallopian tube. The diagnosis of isolated left fallopian tube torsion was made and she was managed with unilateral salpingectomy. DISCUSSION: Women of the reproductive age group are usually affected by this condition. The common presentations are abdominal pain, nausea, and vomiting. The physical examination may reveal abdominal and cervical motion tenderness. Per abdominal ultrasound is the first go-to modality in children. Magnetic resonance imaging, if available, is advised in children if the ultrasound is inconclusive because of the absence of radiation. However, it may require sedation. Therefore, contrast-enhanced computed tomography abdomen gives an added advantage in such scenarios as in our case. This condition is managed by surgery with salpingectomy or tube detorsion with preservation of the tube, depending on the intraoperative findings. CONCLUSION: Clinicians should be aware of the condition given the rarity and challenges in the diagnosis of isolated fallopian tube torsion.
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spelling pubmed-104060292023-08-08 Not every twist is ovarian torsion: a case report of isolated torsion of the fallopian tube in a child Awal, Shila Regmi, Pradeep Raj Prajapati, Nabin Ann Med Surg (Lond) Case Reports Isolated fallopian tube torsion is a rare condition presenting with abdomen pain. The diagnosis is challenging because the clinical findings mimic several other conditions. In this article, we present a case of an adolescent girl who was diagnosed with the condition during laparoscopy. PRESENTATION OF THE CASE: A 15-year-old girl presented with complaints of sudden onset left lower quadrant pain, nausea, and vomiting. There was tenderness in the left iliac fossa. Ultrasonography revealed inconclusive findings and contrast-enhanced computed tomography of the abdomen and pelvis suggested possible left adnexal torsion. Hence, she underwent a diagnostic laparoscopy which revealed a twisted, edematous, and congested left fallopian tube. The diagnosis of isolated left fallopian tube torsion was made and she was managed with unilateral salpingectomy. DISCUSSION: Women of the reproductive age group are usually affected by this condition. The common presentations are abdominal pain, nausea, and vomiting. The physical examination may reveal abdominal and cervical motion tenderness. Per abdominal ultrasound is the first go-to modality in children. Magnetic resonance imaging, if available, is advised in children if the ultrasound is inconclusive because of the absence of radiation. However, it may require sedation. Therefore, contrast-enhanced computed tomography abdomen gives an added advantage in such scenarios as in our case. This condition is managed by surgery with salpingectomy or tube detorsion with preservation of the tube, depending on the intraoperative findings. CONCLUSION: Clinicians should be aware of the condition given the rarity and challenges in the diagnosis of isolated fallopian tube torsion. Lippincott Williams & Wilkins 2023-07-08 /pmc/articles/PMC10406029/ /pubmed/37554874 http://dx.doi.org/10.1097/MS9.0000000000001059 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (https://creativecommons.org/licenses/by/4.0/) (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/)
spellingShingle Case Reports
Awal, Shila
Regmi, Pradeep Raj
Prajapati, Nabin
Not every twist is ovarian torsion: a case report of isolated torsion of the fallopian tube in a child
title Not every twist is ovarian torsion: a case report of isolated torsion of the fallopian tube in a child
title_full Not every twist is ovarian torsion: a case report of isolated torsion of the fallopian tube in a child
title_fullStr Not every twist is ovarian torsion: a case report of isolated torsion of the fallopian tube in a child
title_full_unstemmed Not every twist is ovarian torsion: a case report of isolated torsion of the fallopian tube in a child
title_short Not every twist is ovarian torsion: a case report of isolated torsion of the fallopian tube in a child
title_sort not every twist is ovarian torsion: a case report of isolated torsion of the fallopian tube in a child
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10406029/
https://www.ncbi.nlm.nih.gov/pubmed/37554874
http://dx.doi.org/10.1097/MS9.0000000000001059
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