Isolated torsion of the fallopian tube in premenarcheal girls

Kurzbart, E.; Mares, Abraham J.; Cohen, Zvi; Mordehai, Jacob; Finaly, R.

doi:10.1016/0022-3468(94)90121-x

Cited by 29 publications

(13 citation statements)

References 8 publications

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“…Ovarian volume can also influence the tendency for an ovary to torse because 83% of torsed ovaries in our study had US measurements of 5 cm or larger. Individual anatomy may play a role in those cases without a pathologic lead point because the length of the fallopian tube and suspensory ligaments can influence ovarian mobility and subsequent vascular compromise [6,14,15]. Our observed preferential sidedness of torsion on the right is in keeping with the expected 3:2 ratio and has been attributed to the relative mobility of the cecum allowing for more ovarian movement, in comparison to the fixation of the sigmoid colon [9,13,16,17].…”

Section: Discussionsupporting

confidence: 62%

Cannot exclude torsion—a 15-year review

Oltmann

Fischer

Barber

et al. 2009

Journal of Pediatric Surgery

212

155

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Section: Discussionsupporting

confidence: 62%

Cannot exclude torsion—a 15-year review

Oltmann

Fischer

Barber

et al. 2009

Journal of Pediatric Surgery

212

155

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“…In the present study, we encountered isolated ovarian torsion in 14 (43 %), entire adnexal torsion in 9 (27 %), and isolated fallopian tube torsion in 10 (30 %) patients. However, isolated fallopian tube torsion has been reported as sporadic cases by many authors [9,16,17].…”

Section: Discussionmentioning

confidence: 99%

Management of adnexal torsion by laparoscopic approach

et al. 2012

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The study aimed to evaluate the effectiveness and safety of laparoscopic management of adnexal torsion. Early minimal invasive surgical management of adnexal torsion with the main emphasis on an organ-preserving procedure can safely be recommended. Although the incidence of adnexal torsions has increased, the morbidity rate has declined due to safer diagnostics and operative strategies. This is a retrospective case-control study (Canadian Task Force classification II-3) of 33 cases of adnexal torsion over an 11-year period (December 1999-September 2010) in a gynecologic endoscopy unit of a university hospital. Interventions include early diagnostic laparoscopy and utmost protection of the surrounding tissue. Thirty-three cases of laparoscopically managed adnexal torsions were analyzed. Fifty-two percent had conservative organ-sparing procedures, while 48 % underwent resection of ovary, tube, or both. The mean operating time was 69.2 min. There were no complications or conversions to laparotomy. The most common predisposing factor was an adnexal mass with symptoms of pain. Torsion on the right tube is more common than on the left. Laparoscopic surgery is an effective, safe, and feasible method in the diagnosis and treatment of adnexal torsion.

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“…It is extremely rare before menarche. Only one case report describes a prepubertal girl below the age of 10 years [11]. Nine other prior cases are described in medical literature, reporting about premenarchal girls at or above the age of 10 years [1,4,5,7,[9][10][11]19].…”

Section: Overview Of Literaturementioning

confidence: 97%

“…The causative mechanism of isolated torsion of the fallopian tube is not fully understood. Several theories about its etiology have been postulated [3,6,11,[16][17][18]. There are grossly two groups of predisposing factors described to provoke torsion of the fallopian tube: intrinsic and extrinsic factors ( Table 2).…”

Section: Overview Of Literaturementioning

confidence: 99%