Hydrosalpinx with adnexal torsion in an adult patient-A case report.
Adnexal torsion
CRP, C-reactive protein
CT, computerized tomography
Case report
Hydrosalpinx
MR, magnetic resonance
PID, pelvic inflammatory disease
hCG, human chorionic gonadotropin
Journal
Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888
Informations de publication
Date de publication:
May 2023
May 2023
Historique:
received:
13
07
2022
revised:
16
01
2023
accepted:
17
01
2023
entrez:
14
3
2023
pubmed:
15
3
2023
medline:
15
3
2023
Statut:
epublish
Résumé
Adnexal torsion is a common gynecological emergency and a significant cause of acute pelvic pain in women. Hydrosalpinx-induced torsion of the adnexa is a rare situation and requires prompt and accurate management. Twenty-three years old nulliparous woman admitted in our structure for acute pelvic pain. The ultrasound revealed an enlarged right ovary with an adnexal cystic mass. We suspected the diagnosis of a right adnexal torsion due to cystic ovarian mass. Laparotomy revealed torsion of the right adnexa and a second large mass appearing to be a hydrosalpinx. Diagnosis of adnexal torsion is difficult and is based on a range of arguments obtained by anamnesis, clinical examination, ultrasonography and other investigations. Early diagnosis is important for preserving tubal and ovarian function, given the risk of ovarian necrosis in young women. Laparoscopy is the gold standard for diagnosing and treating adnexal torsion. The treatment can be conservative or radical, consisting of detorsion of the twisted adnexa, with or without adnexectomy.
Identifiants
pubmed: 36915602
doi: 10.1016/j.radcr.2023.01.070
pii: S1930-0433(23)00070-5
pmc: PMC10006302
doi:
Types de publication
Case Reports
Langues
eng
Pagination
1754-1757Informations de copyright
© 2023 Published by Elsevier Inc. on behalf of University of Washington.
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