Hematosalpinx torsion in an adolescent
Introduction: Isolated fallopian tube torsion is an uncommon cause of acute lower abdominal pain. Ectopic pregnancy, hydro or hematosalpinx, endometriosis, adnexal masses and other causes of adnexal disease are predisposing factors. The diagnosis is difficult and often delayed due to the lack of pathognomonic symptoms, characteristic physical signs, and specific imaging and laboratory studies. Defi nitive diagnosis requires a surgical approach.
Case report: The authors present a case of hematosalpinx and its tubal torsion in a virgin teenager with no prior predisposing factors.
Discussion: This rare case may highlight a new insight into pathophysiology of tubal torsion and recalls hematosalpinx as a differential diagnosis.
Lineberry T, Rodriguez H. Isolated torsion of the fallopian tube in an adolescent: a case report. J Pediatr Adolesc Gynecol 2000; 13:135-8.
Casey RK, Damle LF, Gomez-Lobo V. Isolated fallopian tube torsion in pediatric and adolescent females: a retrospective review of 15 cases at a single institution. Pediatr Adolesc Gynecol 2013; 26:189-92.
Krstic K: Acute abdomen of genital origin in a young girl; case of torsion of a hydrosalpinx in a 13 year old girl. Srp Arh Celok Lek 1951; 49:26.
Pinkert M, Klein Z, Tepper R, Beyth Y. Hydrosalpinx with adnexal torsion in an adolescent virgin patient – a diagnostic dilemma: case report and review of the literature. J Pediatr Adolesc Gynecol 2006; 19:297-9.
Lim SY, Park, JC, Bae JG, Kim JI, Rhee JH. Isolated torsion of bilateral fallopian tubes combined with tubal endometriosis: a case report. Korean J Obstet Gynecol 2012; 55:55-8.
Bakos O, Berglund L. Imperforate hymen and ruptured hematosalpinx: a case report with a review of the literature. Journal of Adolescent Health 1999; 24:226-8.
Boukaidi SA, Delotte J, Steyaert H, Valla JS, Sattonet C, Bouaziz J, Bongain A. Thirteen cases of isolated tubal torsions associated with hydrosalpinx in children and adolescents, proposal for conservative management: retrospective review and literature survey. J Pediatr Surg 2011; 46:1425-31.
Copyright (c) 2014 NASCER E CRESCER
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright and access
This journal offers immediate free access to its content, following the principle that providing free scientific knowledge to the public provides greater global democratization of knowledge.
The works are licensed under a Creative Commons Attribution Non-commercial 4.0 International license.
Nascer e Crescer – Birth and Growth Medical Journal do not charge any submission or processing fee to the articles submitted.