Isolated Torsion of Fallop Tube During Early Pregnancy
Journal Name:
- İnönü Üniversitesi Tıp Fakültesi Dergisi
Key Words:
Keywords (Original Language):
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Abstract (2. Language):
Isolated torsion of the fallopian tube is an un common event It is a difficult condition to evaluate clinically and surgery is often necessary to establish the diagnosis. A 23-year old, nullipar woman was admitted with severe abdominal pain in the right lower quadrant associated with nause and vomiting for 3 days. Abdominal examination revealed diffuse, lower abdominal tenderness with guarding and rebound mainly in the right lower quadrant and the abdomen showed muscular rigidity, suggesting peritonism. Pelvic ultrasound showed that intrauterin viable fetus and their crown-rump lengths were 13 mm corresponding to 7 weeks 5 days of gestation and right adnexal unilocular cyst approximately 46 x 30 mm in diameter with no solid areas and surrounded by a thin wall was found. In the differential diagnosis acute appendicitis is considered. During laparotomy a swollen hyperemic right tuba was found, and the appendix was hyperemic. Appendectomy and right salpengectomy were performed. Histopathology confirmed periapendicit, and right tubal necrosis.
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Abstract (Original Language):
Fallop tüpünün izole torsiyonu nadir bir durum olup, tanı için çoğu zaman klinik yaklaşımdan ziyade sıklıkla cerrahi müdahale gerekir. Yirmi üç yaşında üç gündür bulantı ve kusmaları olan nullipar hasta şiddetli sağ kasık ağrısı ile başvurdu. Abdominal muayenede peritoneal tutulumu düşündüren özellikle sağ alt kadranda yaygın rebound, hassasiyet ve muskuler rijidite saptandı. Pelvik ultrasonografide CRL'si 13 mm, 7 hafta 5 gün ile uyumlu intrauterine viable fetus ve sağ adnexial alanda üniloküle, 46 x 30 mm çapında solid alan içermeyen ince duvarlı kistik oluşum saptandı. Ayırıcı tanıda apendisitis düşünüldü. Laparatomi esnasında ödemli ve hiperemik sağ tubaya ek olarak apendix de hiperemik olarak gözlendi. Sağ salfenjektomi ve apendektomi yapılan hastanın histopatoloji raporu tubal nekrosis ve periapendisitis olarak geldi
FULL TEXT (PDF):
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