Zeynep ÖZTÜRK İNAL, Meryem BEKMEZCİ, Mevlut Okay DEMİRTAŞ

Paratubal Kist ile Birlikte İzole Tuba Torsiyonu

Adneksial torsiyon nispeten yaygın olmasına rağmen izole tuba torsiyonu nadir olarak görülmektedir.Ttanıda gecikme fertilite problemlerine neden olabileceği için ayırıcı tanıda tubal torsiyonda olmalıdır. Olgu kliniğimize pelvik ağrı ile başvurdu. Doppler ultrasonografi USG ile akımın izlenmediği transvajinal USG’de sol adneksiyal alanda yaklaşık 8 cm boyutlarında bir kist saptandı. Hastaya adneksiyal torsiyon ön tanısı ile laparoskopi yapıldı. Sol paratubal kisti olan hastaya basit kistektomi uygulandı.

Anahtar Kelimeler:

izole tubal torsiyon, pelvik ağrı, kistektomi

Isolated Tubal Torsion with a Paratubal Cyst

Although adnexal torsion is a common condition, isolated tubal torsion is rather rare. It must be considered in differential diagnosis because delays in making the diagnosis may lead to fertility problems. Our case presented to our clinic with pelvic pain. The transvaginal ultrasonography USG revealed a cyst approximately the size of 8 cm in the left adnexal region that did not exhibit blood flow on Doppler USG. The patient underwent laparoscopy with a preliminary diagnosis of adnexal torsion. The patient who had a left paratubal cyst and associated isolated tubal torsion underwent simple cystectomy.

Keywords:

isolated tubal torsion, pelvic pain, cystectomy,

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Antoniou N, Varras M, Akrivis C, Kitsiou E, Stefanaki S, Salamalekis E. Isolated torsion of the fallopian tube: a case report and review of the literature. Clin Exp Obstet Gynecol 2004;31(3):235-238.
Bland-Sutton J. Salpingitis and some if effects. Lancet. 1890;2:1146-8.
Huchon C, Fauconnier A. Adnexial torsion: a literature review. Eur J Obstet Gynecol Reprod Biol 2010;150(1):8-12.
Regad, J. Etude anatomo-pathologique de la torsion des trompets uteri- nes. Gynecol Obstet 1933;27:519.
Ho P, Liang S, Su H, et al. Isolated torsion of the fallopian tube: a rare diagnosis in an adolescent without sexual experience. Taiwan J Obstet Gynecol 2008;47(2):235-7.
DroegemuellerW:Benign gynaecological lesions. Edited by S Braxter. St. Louis, Mosby-Year Book Inc 1997 pp 467-516.
Varras M, Tsikini A, Polyzos D, Samara Ch, Hadjopoulos G, Akrivis Ch. Uterine adnexal torsion : pathologic and gray-scale ultrasonographic fin- dings. Clin Exp Obstet Gynecol 2004;31(1):34-8.
Comerci G, Colombo FM, Stefanetti M, Grazia G. Isolated fallopian tube torsion: a rare but important event for women of reproductive age. Fertil Steril 2008;90(4): 1198:23-5.
Lima M, Libri M, Aquino A, Gobbi D. Bilateral hydrosalpinx with asynch- ronous tubal torsion: an exceptional findings in a premenarcheal girl. J Pediatr Surg 2011;46(4):27-9.
Milki A, Jacobson DH. Isolated torsion of the fallopian tube. A case report. J Reprod Med 1998;43(9):836-8.
Bernardus RE, Slikke JW, Roex AJ, et al. Torsion of the fallopian tube: some considerations on its etiology. Obstet Gynecol 1984;64(5):675-8.
Benjaminov O, Atri M. Sonography of the abnormal fallopian tube. Am J Roentgenol 2004;183(3)737-42.
Timor-Tritsch IE, Lerner JP, Monteagudo A, et al. Transvaginal sonograp- hic markers of tubal inflammatory disease. Ultrasound Obstet Gynecol 1998;12(1):56-66.
Lineberry TD, Rodriguez H. Isolated torsion of the fallopian tube in an adolescent. A case report. J. paed Adolesc Gynae 2000;13:135-137.
Rha SE, Byun JY, Jung SE, Jung JI, Choi BG, Kim H, Lee JM. CT and MR imaging features of adnexal torsion. Radiographics. 2002;22:283-94.