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Isolated Tubal Torsion With Endometriosis
- Source :
- Journal of Minimally Invasive Gynecology. 24:512-513
- Publication Year :
- 2017
- Publisher :
- Elsevier BV, 2017.
-
Abstract
- A 34-year-old woman, gravida 1, para 1, consulted our department because of secondary infertility of 1-year duration. On transvaginal ultrasound, a unilocular hypoechoic cystic mass was observed in the left adnexa measuring 6.70 ! 5.56 cm, suggestive of a paratubal cyst (Fig. 1). She menstruated regularly with dysmenorrhea at a numeric rating scale of 5. She delivered her child vaginally with no other previous operations and pelvic inflammatory disease. Laboratory examination showed her cancer antigen-125 level at 29.6 U/mL. On laparoscopy, there was torsion of the left fallopian tube, twisting around itself 4 times, with its distal end engorged (Fig. 2) containing chocolatelike fluid and adhered to the peritoneum and cul-de-sac. The uterus, right adnexa, and left ovary were grossly normal. Adhesiolysis and left partial salpingectomy were performed. Histopathologic findings revealed tubal endometrioma with hemosiderinladen macrophages, fibrosis, and chronic inflammation.
- Subjects :
- Adult
Tubal torsion
Torsion Abnormality
medicine.medical_specialty
medicine.medical_treatment
Endometriosis
Uterus
Salpingectomy
03 medical and health sciences
0302 clinical medicine
Peritoneum
Pelvic inflammatory disease
medicine
Humans
Laparoscopy
Fallopian Tubes
030219 obstetrics & reproductive medicine
medicine.diagnostic_test
Cysts
Right adnexa
business.industry
Obstetrics and Gynecology
Fallopian Tube Diseases
medicine.disease
Surgery
medicine.anatomical_structure
030220 oncology & carcinogenesis
Female
business
Subjects
Details
- ISSN :
- 15534650
- Volume :
- 24
- Database :
- OpenAIRE
- Journal :
- Journal of Minimally Invasive Gynecology
- Accession number :
- edsair.doi.dedup.....3ffaf3a0a5b60feb86afad25ee8c0f67