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Isolated Fallopian Tube Torsion in Children: Is Salpingectomy Necessary?

DOI: 
10.7727/wimj.2016.471

ABSTRACT

Objective: Isolated tubal torsion (ITT) is a rare entity in which fallopian tube torses without ovarian torsion. The presenting symptoms are nonspesific. In this study, we aimed to report 6 pediatric cases of ITT treated with different surgical techniques in our instution and to suggest tubal conservation.

Methods: Six cases of ITT treated between 2000-2016 were retrospectively reviewed. Exclusion criteria were ipsilateral ovarian torsion together with tubal torsion, history of pelvic surgery, pelvic inflammatory disease, tubal/ovarian malignancies or pregnancy.

Results: The meanage of the patients was 10.16 years. Abdominal pain was the main complaint. Pelvic doppler ultrasonography was the first imaging modality. Salpingectomy was performed for 3 patients; one newborn with in-utero torsion with autoamputation, one patient with hydrosalphinx, one patient with torsion in the form of a necrotic mass. Detorsion was performed for 3 patients; one patient with ipsilateral ovarian cyst, one patient with paraovarian cyst and one patient with edematous ovary with follicule cysts. No recurrence was observed during follow-up.

Conclusion: ITT is a rare but an important surgical emergency that should be considered in the differential diagnose of acute abdominal pain in female children. Despite several therapeutic surgical options, main aim should be tubal conservation for future fertility.

Accepted: 
05 Oct, 2016
PDF Attachment: 
e-Published: 02 Nov, 2016

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