Mehmet SAKINCI, Kazım Emre KARAŞAHİN, Hüseyin PEHLİVAN, Hakan ÇOKSUER, Cihangir Mutlu ERCAN, İskender BAŞER, İbrahim ALANBAY, Uğur KESKİN

Isolated tubal torsion after tubal ligation and ectopic pregnancy: A case report

Bu olgu sunumu akut pelvik ağrı ile başvuran, izole sağ tuba torsiyonu olan 40 yaşındaki kadınhastayı sunmaktadır. 40 yaşındaki kadın, bulantı ve kusma olmaksızın akut pelvik ağrı şikâyeti ilehastaneye kabul edildi. Ultrason muayenesi ile 71*60 mm ölçülerindeki, septasyonun olmadığı, iyisınırlı sağ adneksiyal kistik kitle saptandı. Laparoskopi ile sağ hidrosalpenks torsiyonugösterilmiştir ve daha sonrasında sağ salpingektomi yapılmıştır. Hastanın öyküsünde 5 kez ektopikgebelik, 2 defa laparoskopik salpingostomi ve 1 kez de laparoskopik tüp ligasyonu mevcuttur.İzole tuba torsiyonu nadir görülür ancak mevcut alt karın ağrısının ayırıcı tanısında akıldatutulması gereken mümkün bir patolojidir. Laparoskopi, izole tuba torsiyonu olan olguların teşhisve tedavisinde faydalı olabilir.

Ektop ik gebelik ve tüp ligasyonu sonrası izole tubal torsiyon: Olgu sunumu

This case report focused on a 40-years-old female patient who had right isolated tubal torsionpresented with acute pelvic pain. A 40-years-old woman was admitted to hospital due to acutepelvic pain without nausea and vomiting. Ultrasound examination revealed a well circumscribedright adnexal cystic mass, without septations, measuring 71*60 mm. Laparoscopy had revealed thetorsion of the right hydrosalpinx and right salpingectomy was performed afterwards. The patienthad a history of 5 ectopic pregnancy, 2 laparoscopic salpingostomy and 1 laparoscopic tuballigation previously. Isolated tubal torsion is a rare but should be kept in mind a possible pathologyin differential diagnosis of current lower abdominal pain. Laparoscopy could be useful indiagnosing and treating the cases with isolated tubal torsion.

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