South Clin Ist Euras. 2023; 34(3): 289-294 | DOI: 10.14744/scie.2023.02350

Isolated Fallopian Tube Torsion with a Paratubal Cyst Treated with Laparoscopic Approach in the Third Trimester of Pregnancy: A Case Report and Literature Review

Emine Eda Akalýn¹, Münip Akalýn², Hilal Levent³, Tolga Taþçý^1
1Department of Obstetrics and Gynaecology, Bahcesehir University School of Medicine, Ýstanbul, Türkiye
²Department of Perinatology, Marmara University Pendik Training and Research Hospital, Ýstanbul, Türkiye
³Bahcesehir University School of Medicine, Ýstanbul, Türkiye

A 29-year-old primigravid pregnant women was admitted to our tertiary center with complaints of abdominal pain, nausea, and vomiting at the 29 weeks of gestation. Ultrasonography revealed a 6 cm diameter cystic mass in the right adnexa, and there was a high suspicion of adnexal torsion. On magnetic resonance imaging, the right ovary appeared normal and there was a 6 cm cystic mass adjacent to the right ovary, and the findings supported isolated fallopian tube torsion. Emergency laparoscopy revealed that the right fallopian tube and paratubal cyst were torsioned by 720°, and the fallopian tube was necrotic. This torsion did not include the ovary. Since the color tone of the fallopian tube did not recover after detorsion, the right salpingectomy was performed. After the patient was discharged, routine obstetric follow-ups were continued and 3375 g male infant was delivered by cesarean section at 39 weeks of gestation.

Keywords: Adnexal torsion, isolated tubal torsion, laparoscopy, pregnancy; third trimester.

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Gebeliðin Üçüncü Trimesterinde Laparoskopik Yaklaþýmla Tedavi Edilen Paratubal Kist ile Birlikte Ýzole Fallop Tüpü Torsiyonu: Olgu Sunumu ve Literatür Derlemesi

Emine Eda Akalýn¹, Münip Akalýn², Hilal Levent³, Tolga Taþçý^1
1Bahçeþehir Üniversitesi Týp Fakültesi, Kadýn Hastalýklarý Ve Doðum Anabilim Dalý, Istanbul
²Marmara Üniversitesi Pendik Eðitim Ve Araþtýrma Hastanesi, Perinatoloji Bilim Dalý, Istanbul
³Bahçeþehir Üniversitesi Týp Fakültesi, Istanbul

Yirmi dokuz yaþýnda ilk gebeliði olan hasta 29. gebelik haftasýnda karýn aðrýsý, bulantý ve kusma þikayetleri ile üçüncü basamak merkezimize baþvurdu. Ultrasonografide sað adnekste 6 cm çapýnda kistik kitle saptandý ve adneksiyel torsiyon þüphesi mevcuttu. Manyetik rezonans görüntülemede sað over normal görünümdeydi. Sað over komþuluðunda 6 cm boyutunda kistik kitle mevcuttu ve bulgular izole fallop tüpü torsiyonunu destekler nitelikteydi. Acil laparoskopide sað fallop tüpü ve paratubal kistin 720 derece torsiyone olduðu ve fallop tüpünün nekrotik olduðu görüldü. Torsiyon sað overi içermiyordu. Detorsiyon sonrasý fallop tüpünün renk tonu düzelmediði için sað salpinjektomi yapýldý. Hasta taburcu edildikten sonra rutin obstetrik takiplerine devam edildi ve 39. gebelik haftasýnda sezaryen ile 3375 gr erkek bebek doðurtuldu.

Anahtar Kelimeler: Adneksiyel torsiyon, izole tubal torsiyon, laparoskopi, gebelik; üçüncü trimester.

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