Torsion causing interruption of the ampullary portion of the fallopian tube.

Abstract

OBJECTIVE:

To present a description of a young girl who presented acutely with symptoms and findings that are consistent with acute adnexal torsion, where resultant outcome would have led to perception of a congenital anomaly.

DESIGN:

Case report.

SETTING:

Tertiary pediatric hospital.

PATIENT(S):

A young girl who presented acutely with symptoms consistent with adnexal torsion but who was found to have a torsion affecting a paratubal cyst and the midsegment of her fallopian tube.

INTERVENTION(S):

A salpingectomy was performed because of damage involving the ischemic paratubal cyst and tubal segment that left too little residual tube to allow for a future anastomosis of the residual unaffected components.

MAIN OUTCOME MEASURE(S):

Operative findings, which give an explanation for midsegmental tubal absence.

RESULT(S):

This case challenges previous reports that absent midsegment of a tube is a rare congenital anomaly.

CONCLUSION(S):

Absent midsegment of a tube can be explained as an acquired anomaly, rather than proposing an unusual congenital anomaly.

• Authors: Sonia Grover
• Journal: Fertility and sterility (Fertil Steril) Vol. 88 Issue 4 Pg. 968.e13-4 (Oct 2007) ISSN: 1556-5653 [Electronic] United States
• PMID: 17678908 (Publication Type: Case Reports, Journal Article)

Topics

• Abdominal Pain (etiology)
• Child
• Cysts (complications)
• Fallopian Tube Diseases (etiology, surgery)
• Fallopian Tubes (abnormalities, surgery)
• Female
• Humans
• Torsion Abnormality (complications)