[Fallopian tube torsion--a rare complication in the reproductive age].
Harefuah
; 148(7): 432-4, 476, 2009 Jul.
Article
em He
| MEDLINE
| ID: mdl-19848328
ABSTRACT
Isolated fallopian tube torsion (ITT) is a rare condition defined as a total or partial rotation of the fallopian tube around its vascular axis. The torsion initiaLLy interferes with the venous and lymphatic circulation. If unrelieved in time, rapid progression occurs, occluding the arterial circulation and Leading to gangrene and hemorrhagic necrosis. The cLinicaL appearance usually includes sharp lower abdominal pain, with or without peritoneal signs. Urinary and gastrointestinal signs might also occur. isolated fallopian tube is a rare condition; the incidence s estimated to be 1500,000 mostly in reproductive age women. ITT is most common in the right side, although several reports claim that there is no difference between the sides. The etiology is not completely understood, but tubal anomalies (anatomic or physiologic) as well as trauma or pelvic inflammation are predisposing factors. The clinical appearance and the imaging in these cases are not pathognomonic, and many cases are delayed by means of diagnosis and treatment. The treatment is surgical. Detorsion or salpingectomy is usually performed by laparoscopy. Three cases that were treated lately at the Department of Obstetrics and Gynecology at the Hadassah Medical Center are presented together with a review of the literature.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Anormalidade Torcional
/
Doenças das Tubas Uterinas
Tipo de estudo:
Incidence_studies
/
Prognostic_studies
Limite:
Female
/
Humans
Idioma:
He
Ano de publicação:
2009
Tipo de documento:
Article