MRI appearance of isolated fallopian tube torsion in an adolescent with a congenital müllerian duct anomaly and ispilateral renal agenesis

Kopec, Martin; Rosenkrantz, Andrew B.; Rivera, Rafael; Wells, Janet; Berg, Robert; Milla, Sarah Sarvis

doi:10.1016/j.crad.2009.09.013

Cited by 10 publications

(6 citation statements)

References 17 publications

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“…Isolated torsion of the fallopian tube has been seen by ultrasound, computerised tomography and magnetic resonance imaging (Kopec et al 2010). Ultrasonography is always used as a first-line investigation as it is non-invasive and done in real time.…”

Section: Discussionmentioning

confidence: 99%

Isolated torsion of the fallopian tube in a 16-year-old adolescent girl

Bayirli

Öge

Uysal

et al. 2011

Journal of Obstetrics and Gynaecology

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Section: Discussionmentioning

confidence: 99%

Isolated torsion of the fallopian tube in a 16-year-old adolescent girl

Bayirli

Öge

Uysal

et al. 2011

Journal of Obstetrics and Gynaecology

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“…We found 43 cases of IFTT in pubertal girls described in the English language literature in the past 21 years. 5–37 Recorded general characteristics including age, duration of abdominal pain (DAP), clinical manifestation, blood test, and image examination are shown in Table 1. And intraoperative and postoperative conditions of IFTT including preoperative diagnosis, size of the cyst, exploration mode of emergency operation, procedure, and routine pathology are also shown in Table 2.…”

Section: Resultsmentioning

confidence: 99%

A rare case of isolated fallopian tubal torsion in adolescent girls: A case report and system review of literature

Zijun,

Yaqin,

Weiwen

2023

SAGE Open Medical Case Reports

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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.

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“…The first reported case in an adolescent was in a 14-year-old adolescent with a congenital uterine anomaly and ipsilateral renal agenesis. 7 Thirty percent of cases with a developmental defect associated with hydrosalpinx have associated urinary tract malformations. 4 None of our patients were found to have similar defects.…”

Section: Discussionmentioning

confidence: 99%