Laparoscopic surgery for fallopian tube torsion due to benign tumour in the third trimester of pregnancy: a case report and literature review

Jo, Jae Yoon; Cho, In Ae; Shin, Jeong Kyu; Lee, Soon Ae; Choi, Woo June

doi:10.1080/01443615.2022.2107421

Cited by 4 publications

(6 citation statements)

References 36 publications

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“…Adnexal torsion is an uncommon cause of acute abdomen in pregnancy and isolated fallopian tube torsion without ovarian involvement accounts for a very small number of cases. [1][2][3] Jo reported a case of fallopian tube torsion due to benign tumour in the third trimester of pregnancy with similar clinical presentation. They managed their case with laparoscopy.…”

Section: Discussionmentioning

confidence: 93%

“…3 The commonest non gynaecological causes of acute pain abdomen in pregnancy are acute appendicitis followed by acute cholecystitis. [1][2][3] Most important gynaecological differential diagnosis to be ruled out is rupture ectopic pregnancy which is suggested by ultrasound findings of adnexal mass with free fluid in peritoneal cavity. Adnexal torsion is an uncommon cause of acute abdomen in pregnancy and isolated fallopian tube torsion without ovarian involvement accounts for a very small number of cases.…”

Section: Discussionmentioning

confidence: 99%

“…In women of reproductive age isolated fallopian tubal torsion is rare, and it is even rarer during pregnancy. 1 Acute abdomen in pregnancy is a condition that is caused by various disorders from ectopic pregnancy to gastrointestinal disorders like appendicitis, urinary disorders etc. Its incidence is around 1 in 500-650 pregnancies.…”

Section: Introductionmentioning

confidence: 99%

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Massive hydrosalpinx with torsion in second trimester of pregnancy: a case report

Kulshrestha

2023

Int J Reprod Contracept Obstet Gynecol

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Acute abdominal pain in pregnancy can be due to obstetrical (preterm labour), gastrointestinal, urinary causes etc. Pregnancy with large adnexal masses are rare presentations. This is a case report about a woman presenting to emergency with 16 weeks and 5 days of gestation with acute pain abdomen. Diagnosis of coexisting huge adnexal mass was made with ultrasound. No response to conservative therapy forced us to do laparotomy which showed huge hydrosalpinx with 4 twists around its pedicle. This case report emphasizes the need to keep hydrosalpinx with torsion in a differential diagnosis for acute pain abdomen in second or third trimester, especially if pain is not relieved on conservative management.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

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Massive hydrosalpinx with torsion in second trimester of pregnancy: a case report

Kulshrestha

2023

Int J Reprod Contracept Obstet Gynecol

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“…In our specific case, the average size of the adnexal cysts (<5 cm) and the close clinical surveillance guarantee a diagnosis of this rare complication. Moreover, isolated fallopian tube torsion is an exceptionally uncommon occurrence in pregnant women, and its diagnosis may be difficult due to the presence of nonspecific clinical symptoms [30].…”

Section: Discussionmentioning

confidence: 99%

Ultrasound Features and Clinical Outcome of Patients with Ovarian Masses Diagnosed during Pregnancy: Experience of Single Gynecological Ultrasound Center

Bruno,

Capanna,

Stanislao

et al. 2023

Diagnostics

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(1) Background: The number of adnexal masses detected during pregnancy has increased due to the use of first-trimester screening and increasingly advanced maternal age. Despite their low risk of malignancy, other risks associated with these masses include torsion, rupture and labor obstruction. Correct diagnosis and management are needed to guarantee both maternal and fetal safety. Adnexal masses may be troublesome to classify during pregnancy due to the increased volume of the uterus and pregnancy-related hormonal changes. Management should be based on ultrasound examination to provide the best treatment. The aim of this study was to describe the ultrasound features of ovarian masses detected during pregnancy and to optimize and personalize their management with the expertise of gynecologists, oncologists and sonographers. (2) Methods: Clinical, ultrasound, histological parameters and type of management (surveillance vs. surgery) were retrospectively retrieved. Patient management, perinatal outcomes and follow-up were also evaluated. (3) Results: according to the literature, these masses are most frequently benign, ultrasound follow-up is the best management, and obstetric outcomes are not considerably influenced by the presence of adnexal masses. (4) Conclusions: the management of patients with ovarian masses detected during pregnancy should be based on ultrasound examination, and a centralization in referral centers for ovarian masses should be considered.

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“…Acute abdominal events during pregnancy present a diagnostic and therapeutic challenge [ [1] , [2] , [3] , [4] , [5] ]. The feasibility and safety of laparoscopic surgery for obstetric and non-obstetric disorders in any trimester of pregnancy are well established [ 2 ], but reports on laparoscopic management of adnexal torsion in the third trimester remain limited [ [6] , [7] , [8] , [9] ].…”

Section: Introductionmentioning

confidence: 99%

Gasless laparoendoscopic single-site assisted extracorporeal ovarian cystectomy through the umbilicus for the management of ovarian torsion at 33 weeks of gestation: A case report with literature review

Laparoscopic surgery for fallopian tube torsion due to benign tumour in the third trimester of pregnancy: a case report and literature review

Cited by 4 publications

References 36 publications

Massive hydrosalpinx with torsion in second trimester of pregnancy: a case report

Massive hydrosalpinx with torsion in second trimester of pregnancy: a case report

Ultrasound Features and Clinical Outcome of Patients with Ovarian Masses Diagnosed during Pregnancy: Experience of Single Gynecological Ultrasound Center

Gasless laparoendoscopic single-site assisted extracorporeal ovarian cystectomy through the umbilicus for the management of ovarian torsion at 33 weeks of gestation: A case report with literature review

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