Isolated fallopian tube torsion with hydrosalpinx: Review of a debated management in a pediatric population

Bertozzi, Mirko; Magrini, Elisa; Riccioni, Sara; Giovenali, Paolo; Appignani, Antonino

doi:10.1016/j.jpedsurg.2017.07.005

Cited by 34 publications

(36 citation statements)

References 34 publications

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“…However, surgical exploration is the only way to confirm the clinical suspicion of IFTT. Exploratory laparoscopy is used as an initial surgical and diagnostic option in the vast majority of cases [4,7].…”

Section: Discussionmentioning

confidence: 99%

“…Clinical follow-up and ultrasound study until adult age are necessary. Various pathologic studies have revealed that, although the tube's microscopic appearance looks necrotic, microscopic study can provide information on integrity in hair cells [2,7]. Salpingectomy is controversial because of current recommendations in regard to cases of ovarian torsion.…”

Section: Discussionmentioning

confidence: 99%

“…Even in ovaries revealed to have a necrotic appearance, it is recommended to perform conservative surgery by means of detorsion of the annex without this having been demonstrated to increase morbidity [8]. In cases of isolated hydrosalpinx free of symptoms and with no complications, a wait-and-see approach can be considered because cases of spontaneous resolution have been reported [7].…”

Section: Discussionmentioning

confidence: 99%

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Isolated fallopian tube torsion associated with hydrosalpinx in a 12-year-old girl: a case report

Martín-Vallejo¹,

Garrigós-Llabata²,

Molina-Bellido³

et al. 2020

J Med Case Reports

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Background Isolated fallopian tube torsion associated with hydrosalpinx is a rare condition in the pediatric population. We present this unusual clinical case study in a sexually inactive girl. Case presentation a12-year-old Caucasian girl presented symptoms of acute abdominal pain. Pelvic ultrasound revealed a normal looking uterus and ovaries and next to left ovary a imaging compatible with hydrosalpinx. She was discharged 48 hours later after clinical monitoring with oral analgesia and normal blood workup. At 3 weeks, she was readmitted for acute abdominal pain. Leukocytosis with left shift and raised C-reactive protein were observed. Her clinical condition worsened, and complication of the preexisting hydrosalpinx was suspected. Exploratory laparoscopy confirmed torsion of the fallopian tube. Left salpingectomy was performed. Histopathologic study confirmed a fallopian tube with hemorrhagic infarct. Conclusion Torsion of the fallopian tube must be considered in the event of acute abdominal pain. Early diagnosis and trying conservative management with a view to preserving fertility in this group of patients are essential.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Isolated fallopian tube torsion associated with hydrosalpinx in a 12-year-old girl: a case report

Martín-Vallejo¹,

Garrigós-Llabata²,

Molina-Bellido³

et al. 2020

J Med Case Reports

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“…Laparoscopic tubal clip occlusion has been described as an alternative to salpingectomy 14. Most of the published cases of fallopian tube torsion with hydrosalpinx underwent salpingectomy.…”

Section: Discussionmentioning

confidence: 99%

Quadruple torsion of the fallopian tube in an 18-year-old virgin: a rare twist

Zaat¹,

Braakhekke

Kaaijk

et al. 2018

BMJ Case Reports

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In this report, we describe an 18-year-old nulliparous virgo, with no medical history, who presented herself at the emergency department with symptoms of lower abdominal pain and nausea with vomiting. On examination, an echogenic unilocular cyst with possible relation to the right ovary was found. The working diagnosis was an ovarian torsion. She underwent a diagnostic laparoscopy which revealed a quadruple torsion of the fallopian tube with hydrosalpinx. Detorsion of the tube was performed, and the tube was drained using diathermic incision. After the surgery, the patient recovered rapidly. Ultrasonic evaluation 38 days later showed an echogenic area measuring 2×3 cm suspected for persistent hydrosalpinx. Because of the asymptomatic postoperative period, the patient was treated conservatively, and no further treatment was performed.

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“…Isolated salpingeal torsion (IST) is rare gynecological entity with an estimated incidence of 1:1.5 million that affects adolescent girls and women of the reproductive age group (1)(2)(3)(4)(5)(6)(7). The etiology of IST remains undetermined but certain intrinsic (congenital anomalies of the fallopian tube, hydrosalpinx/hematosalpinx, tubal neoplasms, abnormal tubal motility or spasms) and extrinsic (tubal Correspondence: Eniola R. Ibirogba Email: eniola.r.ibis@gmail.com or ovarian mass, adhesions, pregnancy, pelvic trauma or congestion) risk factors predispose to fallopian tube torsion.…”

Section: Introductionmentioning

confidence: 99%

Adnexal Torsion after Isolated Salpingeal Torsion: An Undesired Complication of Conservative Management: A Case Report

Ibirogba

Alshehabi

Konchwalla

et al. 2020

JFRH

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Objective: Isolated salpingeal torsion (IST) is a rare cause of acute abdomen in women of the reproductive age group. The lack of pathognomonic clinical, laboratory or radiographic findings makes early diagnosis a challenge. We describe a case of IST in a 13-year-old who suffered from a repeat torsion following initial conservative management. Case Report: A 13-year-old girl presented with acute right lower quadrant abdominal pain of insidious onset. Her past medical history was non-contributory and her initial workup was unremarkable. Exploratory laparoscopy subsequently revealed isolated torsion of the right fallopian tube which was detorted. She presented 10 months later with similar complaints and further workup demonstrated right adnexal torsion which was confirmed by laparoscopy; salpingo-oophorectomy was necessary due to gangrenous necrosis. Conclusion: Conservative management of fallopian tube torsion confers the advantage of fertility preservation but the risk of repeat torsion remains clinically significant.

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Isolated fallopian tube torsion with hydrosalpinx: Review of a debated management in a pediatric population

Cited by 34 publications

References 34 publications

Isolated fallopian tube torsion associated with hydrosalpinx in a 12-year-old girl: a case report

Isolated fallopian tube torsion associated with hydrosalpinx in a 12-year-old girl: a case report

Quadruple torsion of the fallopian tube in an 18-year-old virgin: a rare twist

Adnexal Torsion after Isolated Salpingeal Torsion: An Undesired Complication of Conservative Management: A Case Report

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