Ovarian torsion
Adnexal torsion; Fallopian tube torsion; Tubal torsion
A twisting of the ovary and/or fallopian tube on its vascular and ligamentous supports, blocking adequate blood flow to the ovary. Rapid diagnosis and intervention are necessary to preserve ovarian function. Most often seen in women of reproductive age between 20 and 40 years, but can occur during pregnancy, as well as in infants, children, adolescents, and postmenopausal women. Commonly presents with abdominal pain, nausea, vomiting, and an abdominal mass. High clinical suspicion is necessary. Clinical presentation is nonspecific, with no absolute clinical profile. Transvaginal ultrasound with Doppler flow studies may show an enlarged ovary with absence of blood flow. Definitive diagnosis is surgical. Laparoscopic surgery with detorsion is the preferred treatment to preserve normal ovarian function and fertility.
Michael P Hopkins MD MEd; Jay R Patibandla MD
2019
1905-07
Journal Article
n/a
Primary fallopian tube carcinoma with isolated torsion of involved tube
diagnosis; experience; cancer; Oncology; tumors; Obstetrics & Gynecology; features; adnexa; adnexal torsion; ca-125; color Doppler; dilation and curettage (D&C); endometrial biopsy (EMB); fallopian tube carcinoma (FTC); fallopian tube torsion (IFTT); isolated; torsion; transvaginal ultrasound
Background: Primary fallopian tube carcinoma (FTC) is an aggressive but rare tumor. Worldwide, more than 1,500 cases have been published, and about 20 new cases are added every year. isolated fallopian tube torsion (IFTT) is an unusual and uncommon event. Case: We report a 69-year-old Caucasian woman, Gravida 4, Para 3, with a long history of hypertension, diabetes mellitus with retinopathy and neuropathy, and history of extensive coronary artery disease, for which a triple-by-pass graft was performed She was placed on anticoagulation therapy. Subsequently, she developed intermittent vaginal bleeding. Results: We reviewed and discussed the symptoms and work-up of the patient in detail. She underwent exploratory laparotomy, and primary FTC with isolated torsion of the involved fallopian tube was diagnosed. Peritoneal washings, omentectomy, total abdominal hysterectomy and bilateral salpingo-oophorectamy were performed. Conclusion: Review of the English literature on the presenting symptoms and diagnostic management of primary FTC and IFTT is presented.
Azodi M; Langer A; Jenison E L
European Journal of Gynaecological Oncology
2000
2000
Journal Article or Conference Abstract Publication
n/a