Yeungnam Univ J Med.  2019 Jan;36(1):59-62. 10.12701/yujm.2019.00024.

Isolated tubal torsion in the third trimester of pregnancy managed with simultaneous salpingectomy and cesarean section

• Park SN

• KMID: 2434101
• DOI: http://doi.org/10.12701/yujm.2019.00024

Abstract

Isolated tubal torsion is an uncommon cause of acute abdomen in pregnancy. Tubal torsion may occur in the absence of adnexal disease. Diagnosing tubal torsion is especially difficult in pregnancy because no precise preoperative radiological and biochemical investigations have been conducted. Most patients are diagnosed during surgery. Here, I present a case of isolated tubal torsion in a pregnant woman at 35 weeks and 6 days of gestation that was managed with salpingectomy and cesarean section simultaneously.

Keyword

Abdominal pain; Pregnancy; Torsion abnormality

MeSH Terms

Abdomen, Acute
Abdominal Pain
Adnexal Diseases
Cesarean Section*
Female
Humans
Pregnancy
Pregnancy Trimester, Third*
Pregnancy*
Pregnant Women
Salpingectomy*
Torsion Abnormality

Figure

• 

  Fig. 1. (A) Abdominopelvic computed tomography shows a 44×25 mm sized homogenous cystic mass occupies the right lower quadrant. (B) Transabdominal ultrasonography shows a 37 mm sized hypoechoic cystic mass in the right lower quadrant.

• 

  Fig. 2. (A) Intraoperative findings: a right ischemic fallopian tubal mass (T) and a grossly normal ovary (O) are beside uterus (U). The torsion of the right fallopian tube (arrow) was observed at midportion. (B) Operative specimen: a 6×4 cm sized, ovoid shaped, purple-brown colored, diffusely congested fallopian tube.

Reference

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