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Diagnosis and laparoscopic management of a fallopian tube torsion following Irving tubal sterilization: a case report.

Abstract

Tubal torsion is a very rare but serious clinical entity. Its occurrence has been reported following Pomeroy tubal ligation and laparoscopic tubal cauterization. The following case report will be the first one describing a tubal torsion after an Irving tubal ligation in a patient who also had a history of pelvic inflammatory disease (PID). This study includes the presentation of a case of tubal torsion that is diagnosed and managed laparoscopically and the review of the literature through a computerized search of MEDLINE for relevant cases in the English literature published between January 1966 and July 1999. The patient is a 26-year-old woman with a history of PID and Irving tubal ligation. She presented with a second episode of acute right lower quadrant pain. The patient underwent a diagnostic laparoscopy and was found to have a 6 x 5 cm hemorrhagic and necrotic fallopian tube consistent with torsion of the right tube. A right salipingectomy was done laparoscopically. Combination of PID and tubal sterilization in the medical history of a patient presenting with acute or intermittent pelvic pain may suggest tubal torsion.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Obstetrics and Gynecology, Yale University School of Medicine, 333 Cedar Street, New Haven, CT, 06520-8063, USA. sozeni@midmaine.com

    , ,

    Source

    Surgical endoscopy 16:1 2002 Jan pg 217

    MeSH

    Adult
    Fallopian Tube Diseases
    Female
    Gynecologic Surgical Procedures
    Humans
    Laparoscopy
    Sterilization, Tubal
    Torsion Abnormality

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    11961651

    Citation

    TY - JOUR T1 - Diagnosis and laparoscopic management of a fallopian tube torsion following Irving tubal sterilization: a case report. AU - Sozen,I, AU - Kadako,R, AU - Fleischman,S, AU - Arici,A, Y1 - 2001/11/12/ PY - 2002/4/19/pubmed PY - 2002/5/15/medline PY - 2001/May/2/received PY - 2001/Jun/18/accepted PY - 2001/Nov/12/aheadofprint PY - 2002/4/19/entrez SP - 217 EP - 217 JF - Surgical endoscopy JO - Surg Endosc VL - 16 IS - 1 N2 - Tubal torsion is a very rare but serious clinical entity. Its occurrence has been reported following Pomeroy tubal ligation and laparoscopic tubal cauterization. The following case report will be the first one describing a tubal torsion after an Irving tubal ligation in a patient who also had a history of pelvic inflammatory disease (PID). This study includes the presentation of a case of tubal torsion that is diagnosed and managed laparoscopically and the review of the literature through a computerized search of MEDLINE for relevant cases in the English literature published between January 1966 and July 1999. The patient is a 26-year-old woman with a history of PID and Irving tubal ligation. She presented with a second episode of acute right lower quadrant pain. The patient underwent a diagnostic laparoscopy and was found to have a 6 x 5 cm hemorrhagic and necrotic fallopian tube consistent with torsion of the right tube. A right salipingectomy was done laparoscopically. Combination of PID and tubal sterilization in the medical history of a patient presenting with acute or intermittent pelvic pain may suggest tubal torsion. SN - 1432-2218 UR - https://www.unboundmedicine.com/medline/citation/11961651/Diagnosis_and_laparoscopic_management_of_a_fallopian_tube_torsion_following_Irving_tubal_sterilization:_a_case_report_ L2 - http://dx.doi.org/10.1007/s004640041031 ER -