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Background
Fallopian tube torsion is a rare finding in women presenting with abdominal pain, and it is exceedingly rare for it to be associated with concomitant appendicitis. The clinical presentation of isolated fallopian tube torsion can be a diagnostic problem because there are no specific clinical features. Early consideration of the diagnosis...
Context in source publication
Context 1
... pressure of 140/90. Her abdomen was mildly distended, and she had localised guarding in the left lower quadrant maximally, plus some suprapubic and right lower quadrant tenderness. Blood tests revealed an elevated white cell count of 16, and elevated CRP of 167. A pregnancy test was negative. Pelvic ultrasound showed a large right ovarian cyst (Fig. 1). There was no obvious blood flow to the right ovarian cyst or parenchyma, and so torsion could not be ruled out (Fig. 2). There was also a small amount of free fluid surrounding the cyst. The appendix could not be identified, and so acute appendicitis could also not be ruled ...
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Appendicitis is a common cause of abdominal pain in children, and is the most common reason for children to undergo emergency abdominal surgery. To guide our research program in this field, we aimed to determine parental understanding with regard to appendicitis and its treatment. We also wished to assess parental preference for non-operative or su...
Citations
... And right IFTT is more often surgically explored suspecting appendicitis. 25,31,36 However, the specific epidemiological causes need to be furtherly studied. ...
... Fever is rare except for complication of infection or necrosis. 2,25 By analysis of the DAP of 10-case fever patients, 6,17,19,25,29,31,34,36,37 especially for one case which displayed no fever firstly, but fever after 3 weeks. 26 We found the DAP of fever patients showed obvious extension; however, the risk of fever increases significantly with the prolongation of DAP (χ 2 = 15.57, ...
... As for exploration mode of emergency operation, there is no doubt that laparoscopic exploration is preferred method and gold standard for the diagnosis and treatment of IFTT. 30,32,39 Although there is no sufficient research evidence on the improvement of fertility function after fallopian tubal reservation, fallopian tubal reservation surgery (P-DPE +RT) 5,22,32,35,36 is still the first choice at present, especially in the early stage of IFTT, 44 which may be the reason for the renewal of the surgical plan for ovarian torsion in adolescent girls. 45 This reservation surgery (P-DPE+RT) also confirmed that it was consistent with the two-step conservative surgical management proposed by Boukaidi et al. 46 However, it was controversial that the second-look laparoscopic and salpingoscopic surgery scheduled several weeks after the first surgical procedure. ...
Isolated torsion of a fallopian tube in adolescent girls is a very rare acute abdomen. How to early diagnose and treatment isolated torsion of a fallopian tube has always been one of key points. We reported a rare case of isolated torsion of a fallopian tube in a 14-year-old girl and conducted a systematic review of the literature over the past 21 years. We collected data on clinical characteristics, diagnosis and treatment, prognosis and follow-up outcomes. According to our research strategies, 43 reported cases were included. The results (Mean ± SD) showed that the onset age was 14.09 ± 2.49, the cycle torsion was 2.79 ± 1.18, and the cyst size was 6.43 ± 2.25. The main clinical symptoms (percentage) are 100% lower abdominal pain, 67.44% nausea, 51.16% vomiting, and 50.00% right side lesions. And the accurate rate of preoperative diagnosis was only 27.91%, in which laparoscopic exploration, tubal necrosis, and tubal preservation accounted for 79.07%, 41.86%, and 32.56%, respectively. Extremely difficult diagnosis of isolated torsion of a fallopian tube, because of non-specific clinical manifestations, led to the adverse clinical outcome of salpingectomy. However, the accuracy of preoperative diagnosis can be improved by improving acknowledge of ultrasound diagnosis and the awareness of clinical gynecologists. However, the accuracy of preoperative diagnosis can be improved by improving knowledge of ultrasound diagnosis and awareness of clinical gynecologists. The laparoscopic exploration is sole gold standard for diagnosis and treatment. The operation of preserving the fallopian tube may be the first choice, especially in the early stage of isolated torsion of a fallopian tube.
