Isolated fallopian tube torsion associated with hydrosalpinx in a 12-year-old girl: a case report
- PDF / 5,718,085 Bytes
- 4 Pages / 595.276 x 790.866 pts Page_size
- 12 Downloads / 195 Views
(2020) 14:165
CASE REPORT
Open Access
Isolated fallopian tube torsion associated with hydrosalpinx in a 12-year-old girl: a case report Javier Martín-Vallejo*, Enrique E. Garrigós-Llabata, Patricia Molina-Bellido and Pedro A. Clemente-Pérez
Abstract 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. Keywords: Case report, Conservative management, Fertility, Hydrosalpinx, Isolated fallopian tube torsion
Introduction Several intrinsic or extrinsic predisposing factors have been identified in adults as being associated with isolated fallopian tube torsion (IFTT) [1]. However, in sexually inactive girls or adolescents, a possible factor is preexisting congenital malformations such as hydrosalpinx [2]. Hydrosalpinx can occur free of symptoms; however, when associated with IFTT, it is usually accompanied by symptoms of nonspecific abdominal pain [2]. This condition is hard to diagnose with standard imaging tests, and surgical examination is needed to make a final diagnosis [3]. Surgical treatment of IFTT is controversial [1] and ranges from a wait-and-see approach to total
* Correspondence: [email protected] Department of Obstetrics and Gynecology, Hospital de Denia, Avenida Marina Alta, s/n, 03700 Denia, Alicante, Spain
salpingectomy. Early diagnosis is essential to consideration of conservative management [3].
Case presentation A 12-year-old Caucasian girl came to the emergency department of our hospital. She reported abdominal pain of 48-hour clinical course located in the left iliac fossa as well as feeling nauseous. The patient reported similar clinical symptoms, which were self-limiting, the month prior. She did not present with any medical or surgical history of note, and her gynecological history revealed that she had not undergone menarche and had not yet commenced sexual relations. Her physical examination revealed normal vital signs and no fever. We observed normal development of secondary sexual characteristics in Tan
Data Loading...
