Erken Gebelikte İzole Fallopian Tüp Torsiyonu
Yükleniyor...
Dosyalar
Tarih
2005
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi Tıp Fakültesi Dergisi
Erişim Hakkı
Özet
Fallop tüpünün izole torsiyonu nadir bir durum olup, tanı için çoğu zaman klinik yaklaşımdan ziyade sıklıkla cerrahi
müdahale gerekir. Yirmi üç yaşında üç gündür bulantı ve kusmaları olan nullipar hasta şiddetli sağ kasık ağrısı ile
başvurdu. Abdominal muayenede peritoneal tutulumu düşündüren özellikle sağ alt kadranda yaygın rebound,
hassasiyet ve muskuler rijidite saptandı. Pelvik ultrasonografide CRL’si 13 mm, 7 hafta 5 gün ile uyumlu intrauterine
viable fetus ve sağ adnexial alanda üniloküle, 46 x 30 mm çapında solid alan içermeyen ince duvarlı kistik oluşum
saptandı. Ayırıcı tanıda apendisitis düşünüldü. Laparatomi esnasında ödemli ve hiperemik sağ tubaya ek olarak
apendix de hiperemik olarak gözlendi. Sağ salfenjektomi ve apendektomi yapılan hastanın histopatoloji raporu tubal
nekrosis ve periapendisitis olarak geldi.
Isolated torsion of the fallopian tube is an un common event It is a difficult condition to evaluate clinically and surgery is often necessary to establish the diagnosis. A 23-year old, nullipar woman was admitted with severe abdominal pain in the right lower quadrant associated with nause and vomiting for 3 days. Abdominal examination revealed diffuse, lower abdominal tenderness with guarding and rebound mainly in the right lower quadrant and the abdomen showed muscular rigidity, suggesting peritonism. Pelvic ultrasound showed that intrauterin viable fetus and their crown-rump lengths were 13 mm corresponding to 7 weeks 5 days of gestation and right adnexal unilocular cyst approximately 46 x 30 mm in diameter with no solid areas and surrounded by a thin wall was found. In the differential diagnosis acute appendicitis is considered. During laparotomy a swollen hyperemic right tuba was found, and the appendix was hyperemic. Appendectomy and right salpengectomy were performed. Histopathology confirmed periapendicit, and right tubal necrosis.
Isolated torsion of the fallopian tube is an un common event It is a difficult condition to evaluate clinically and surgery is often necessary to establish the diagnosis. A 23-year old, nullipar woman was admitted with severe abdominal pain in the right lower quadrant associated with nause and vomiting for 3 days. Abdominal examination revealed diffuse, lower abdominal tenderness with guarding and rebound mainly in the right lower quadrant and the abdomen showed muscular rigidity, suggesting peritonism. Pelvic ultrasound showed that intrauterin viable fetus and their crown-rump lengths were 13 mm corresponding to 7 weeks 5 days of gestation and right adnexal unilocular cyst approximately 46 x 30 mm in diameter with no solid areas and surrounded by a thin wall was found. In the differential diagnosis acute appendicitis is considered. During laparotomy a swollen hyperemic right tuba was found, and the appendix was hyperemic. Appendectomy and right salpengectomy were performed. Histopathology confirmed periapendicit, and right tubal necrosis.
Açıklama
İnönü Üniversitesi Tıp Fakültesi Dergisi
12(4)265-267 (2005)
Anahtar Kelimeler
Tubal torsion, Gebelik, Tubal torsion, Pregnancy
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Hasçalık, Şeyma ; Çelik, Önder ;Işık, Burak ;Kırımlıoğlu, Hale ;İnönü Üniversitesi Tıp Fakültesi Dergisi 12(4)265-267 (2005)
