Torsion of Benign Serous Cystadenoma of the Fallopian Tube: a Challenge in Differential Diagnosis of Abdominal Pain in Women during Their Childbearing Years - a Case Report

正值生育年齡婦女的急性腹痛，仍為一大挑戰，而腹痛由單獨的輸卵管扭轉引起更為少見。我們報告一個由良性輸卵管腺瘤造成扭轉的病例。這是一位二十八歲剛結婚的婦女，因為疑似卵巢腫瘤引起腹痛及想吐所以送到本院急診室來。經過詳細的身體，陰道超音波，腹部電腦斷層檢查，證實右邊有四公分的腫塊，但是實驗室的血液，尿液檢查均在正常範圍內。經過四十八小時的留觀，病況並未改善。所以安排腹腔鏡從新審識這位婦女，發現單獨輸卵管扭轉。我們試著將此扭轉的輸卵管復位，但是壞死的組織仍舊，最後我們只好切除此側輸卵管。病理報告證實由良性輸卵管腺瘤扭轉造成壞死。我們報告此病例強調利用腹腔鏡輔助診斷的重要性。

關鍵字

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並列摘要

The differential diagnosis of abdominal pain in women during their childbearing years is still a challenge. Abdominal pain caused by isolated tubal torsion is extremely rare. In the report, we presented a case of isolated tubal torsion caused by benign serous cystadenoma. A 28-year-old married woman (GO) having lower abdominal pain and nausea was referred to our Emergency Room with suspicion of ovarian mass. Physical examination, transvaginal ultrasound and computed tomography showed a 4-cm right adnexal cystic mass. Other laboratory data were all within normal limits. She was managed by laparoscopic examination due to a lack of improvement in her clinical symptoms and inclusive diagnosis after 48-hours’conservative treatment. Laparoscoys showed isolated torsion of right fallopian tube but the right ovary was normal without torsion. Initially, detorsion was performed but necrotic change of the fallopian tube persisted because of permanent darkened color tube without blood flow redistribution, so salpingectomy was performed 30 minutes later. Final pathology showed benign serous cystadenoma of fallopian tube. The present case is the first case of benign serous cystadenoma with resultant necrotic tubal torsion. We reported this case to emphasize the possible value of early performance of laparoscopy in aiding an accurate diagnosis.

並列關鍵字

isolated tubal torsion ； primary fallopian tube serous cystadenoma

國際替代計量

Torsion of Benign Serous Cystadenoma of the Fallopian Tube: a Challenge in Differential Diagnosis of Abdominal Pain in Women during Their Childbearing Years - a Case Report

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