İbrahim YALÇIN, Atalay EKİN, Ulaş SOLMAZ, Cenk GEZER, Alper BİLER

Unusual cause of acute abdominal pain in a postmenopausal woman: adnexal torsion

Adneksiyal torsiyon, kadınlarda akut karın ağrısının nadir görülen ancak önemli bir sebebidir. Adneksiyal torsiyon, akut karın ağrısı ve adneksiyal kitleyle başvuran premenopozal kadınlarda akla gelirken, postmenopozal dönemde nadiren düşünülür. Adneksiyal torsiyonun tanısı klinik, laboratuvar ve fizik muayene bulgularının spesifik olmaması nedeniyle sıklıkla zor konur. Premenopozal ve postmenopozal kadınlarda adneksiyal torsiyonun nedenleri de farklıdır. Basit bir fonksiyonel kist premenopozal kadınlarda torsiyonun sıklıkla nedeni iken, postmenopozal kadınlarda bu daha nadirdir. Adneksiyal torsiyon acil bir cerrahi durumdur ve tedavisi konvansiyonel ekploratif laparotomi ya da laparoskopik cerrahi ile yapılır. Adneksiyal torsiyon, postmenopozal kadınlarda yalnızca akut başlangıçlı ağrı durumlarında değil uzun süren abdominal ağrı durumlarında da ayırıcı tanıda düşünülmelidir. dönemde akut karın ağrısının nadir bir sebebi olan bir adneksiyal torsiyon olgusunu sunduk. Bu çalışmamızda, postmenopozal.

Postmenapozal bir kadında akut abdominal ağrının nadir bir sebebi: adneksiyal torsiyon

Adnexal torsion is an infrequent but significant cause of acute lower abdominal pain in women. While adnexal torsion is generally considered in premenopausal women presenting with acute abdominal pain and a pelvic mass, it is a rare cause of acute abdominal pain during postmenopausal period. The diagnosis of adnexal torsion is often challenging due to nonspesific clinical, laboratory and physical examination findings. Causes of adnexal torsion is also different in premenopausal and postmenopausal women. While a simple functional cyst is often the cause of torsion in premenopausal women, it is more rarely the cause in postmenopausal women. Adnexal torsion is a surgical emergency. The surgery of adnexal torsion is performed either via conventional exploratory laparotomy or laparoscopic surgery. Adnexal torsion in postmenopausal women should be considered not only in the setting of sudden onset pain, but also in long-term abdominal discomfort. In this article, we presented a case with adnexal torsion that rarely cause acute abdominal pain in postmenopausal women.

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