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Case Reports in Pediatrics - Volume 2016 2016, Article ID 8707386, 3 pages -

Case Report

Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA

Department of Surgery, New York University School of Medicine, New York, NY, USA

Received 18 July 2016; Accepted 25 September 2016

Academic Editor: Carmelo Romeo

Copyright © 2016 Claudia Mueller and Sandra Tomita. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. Torsion of the fallopian tube, involving hydatids of Morgagni, though a rare cause of acute pelvic pain in young girls, can pose significant risks to future fertility. Tubal torsion may present as a diagnostic dilemma since the ovary itself usually appears normal on ultrasound. Thus, surgical intervention may be delayed which can lead to worsening necrosis and result in the need for resection of the affected tube. Methods. We reviewed two cases of fallopian tube torsion associated with hydatids of Morgagni in adolescent females. Results. The patients were premenarchal in both cases, aged 10 and 13 years. Both presented with acute clinical signs of ovarian torsion but ultrasound showed the ovary itself to be normal with an adjacent cystic structure. In both cases, the fallopian tube was detorsioned laparoscopically and preserved. The associated cyst was excised in one case and marsupialized in the other. Conclusions. We propose that prompt recognition and operative management of this relatively uncommon source of pelvic pain may prevent unnecessary tubal resection and improve long-term fertility in this population.





Autor: Claudia Mueller and Sandra Tomita

Fuente: https://www.hindawi.com/



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