A VERY RARE CASE OF SUBACUTE ISOLATED TUBAL TORSION IN A POSTMENOPAUSAL WOMAN

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Sakinci M., TOSUN M., Bıldırcın Gökyar F. D., Malatyalioglu E., KURU O.

TURKISH JOURNAL OF OBSTETRICS AND GYNECOLOGY, vol.10, no.3, pp.197-200, 2013 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 10 Issue: 3
  • Publication Date: 2013
  • Doi Number: 10.5505/tjod.2013.37790
  • Journal Name: TURKISH JOURNAL OF OBSTETRICS AND GYNECOLOGY
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus
  • Page Numbers: pp.197-200
  • Keywords: isolated tubal torsion, menopause, subacute
  • Ondokuz Mayıs University Affiliated: Yes

Abstract

Isolated tubal torsion is a very rare entity with a reported incidence of 1:1.500.000. In postmenopausal period it is even more rare. In this case report we present a postmenopausal patient with subacute pelvic pain and adnexal mass whose definitive diagnosis at laparotomy was isolated tubal torsion. Until now, to our knowledge, only 3 cases of postmenopausal isolated tubal torsion has been described in the literature. One-month duration of symptoms indicating the subacute nature of torsion was also unique in this case. Intraoperatively, the right tube was twisted 7-8 times just beside a paratubal cyst which is in the form of a 10x8x8 cm hemorrhagic necrotic cystic mass. Total abdominal hysterectomy, bilateral salpingoophorectomy and appendectomy procedure was undertaken.