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Innocent until proven guilty: acute on chronic tubal torsion mimicking pelvic inflammatory disease

Acute pelvic pain is a common complaint in reproductive age women and has a large differential diagnosis. Decision for conservative vs. surgical management is often dependent on clinical, biochemical and imaging findings. Isolated tubal torsion is a rare cause of pelvic pain that requires prompt dia...

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Detalles Bibliográficos
Autores principales: Taylor, Scott, Lee, Hong, Singh, Rajeev
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8128385/
https://www.ncbi.nlm.nih.gov/pubmed/34025974
http://dx.doi.org/10.1093/jscr/rjab187
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author Taylor, Scott
Lee, Hong
Singh, Rajeev
author_facet Taylor, Scott
Lee, Hong
Singh, Rajeev
author_sort Taylor, Scott
collection PubMed
description Acute pelvic pain is a common complaint in reproductive age women and has a large differential diagnosis. Decision for conservative vs. surgical management is often dependent on clinical, biochemical and imaging findings. Isolated tubal torsion is a rare cause of pelvic pain that requires prompt diagnosis and surgical management to avoid morbidity. Here, we report non-pregnant women of reproductive age presenting with acute lower abdominal pain. Raised inflammatory markers and ultrasound findings prompted management for Pelvic Inflammatory Disease. Despite some improvement with antibiotics, the patient had ongoing symptoms. At surgery, bilateral para-tubal cysts and a left sided hydrosalpinx were found, along with an isolated left tubal torsion. Isolated tubal torsion most commonly occurs in reproductive aged women, and risk factors include intrinsic tubal pathology and extrinsic lesions. Clinically, biochemically and radiographically, it is often indistinguishable from other pelvic pathology, potentially leading to diagnostic delay, and necrosis of the tube.
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spelling pubmed-81283852021-05-21 Innocent until proven guilty: acute on chronic tubal torsion mimicking pelvic inflammatory disease Taylor, Scott Lee, Hong Singh, Rajeev J Surg Case Rep Case Report Acute pelvic pain is a common complaint in reproductive age women and has a large differential diagnosis. Decision for conservative vs. surgical management is often dependent on clinical, biochemical and imaging findings. Isolated tubal torsion is a rare cause of pelvic pain that requires prompt diagnosis and surgical management to avoid morbidity. Here, we report non-pregnant women of reproductive age presenting with acute lower abdominal pain. Raised inflammatory markers and ultrasound findings prompted management for Pelvic Inflammatory Disease. Despite some improvement with antibiotics, the patient had ongoing symptoms. At surgery, bilateral para-tubal cysts and a left sided hydrosalpinx were found, along with an isolated left tubal torsion. Isolated tubal torsion most commonly occurs in reproductive aged women, and risk factors include intrinsic tubal pathology and extrinsic lesions. Clinically, biochemically and radiographically, it is often indistinguishable from other pelvic pathology, potentially leading to diagnostic delay, and necrosis of the tube. Oxford University Press 2021-05-17 /pmc/articles/PMC8128385/ /pubmed/34025974 http://dx.doi.org/10.1093/jscr/rjab187 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2021. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Taylor, Scott
Lee, Hong
Singh, Rajeev
Innocent until proven guilty: acute on chronic tubal torsion mimicking pelvic inflammatory disease
title Innocent until proven guilty: acute on chronic tubal torsion mimicking pelvic inflammatory disease
title_full Innocent until proven guilty: acute on chronic tubal torsion mimicking pelvic inflammatory disease
title_fullStr Innocent until proven guilty: acute on chronic tubal torsion mimicking pelvic inflammatory disease
title_full_unstemmed Innocent until proven guilty: acute on chronic tubal torsion mimicking pelvic inflammatory disease
title_short Innocent until proven guilty: acute on chronic tubal torsion mimicking pelvic inflammatory disease
title_sort innocent until proven guilty: acute on chronic tubal torsion mimicking pelvic inflammatory disease
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8128385/
https://www.ncbi.nlm.nih.gov/pubmed/34025974
http://dx.doi.org/10.1093/jscr/rjab187
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