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Isolated fallopian tube torsion in pediatric and adolescent females: a retrospective review of 15 cases at a single institution.

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Citation: Journal of Pediatric & Adolescent Gynecology. 26(3):189-92, 2013 Jun.PMID: 23642839Institution: MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology/Pediatric and AdolescentForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Fallopian Tube Diseases/su [Surgery] | *Torsion Abnormality/su [Surgery] | *Torsion Abnormality/us [Ultrasonography] | Abdominal Pain/et [Etiology] | Adolescent | Child | Fallopian Tube Diseases/co [Complications] | Fallopian Tube Diseases/us [Ultrasonography] | Female | Humans | Ovarian Cysts/us [Ultrasonography] | Retrospective Studies | Salpingectomy | Torsion Abnormality/co [Complications]Local holdings: Available online through MWHC library: 2002 - presentISSN:

1083-3188

Name of journal: Journal of pediatric and adolescent gynecologyAbstract: CONCLUSIONS: Isolated fallopian tube torsion is a rare condition that seems to occur in younger adolescents. Vague clinical presentation contributes to low preoperative suspicion. Preoperative suspicion may be increased based on radiographic findings of an enlarged tubular structure or an adjacent normal ovary. Management may be considered nonemergent and salpingectomy is controversial. Long-term fertility outcomes must be further assessed for more definitive decisions regarding surgical management. Copyright 2013 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.DESIGN: Retrospective review.INTERVENTION: None.MAIN OUTCOME MEASURE: Isolated fallopian tube torsion.PARTICIPANTS: Case series of pediatric and adolescent females, <21 years old, with operatively diagnosed isolated fallopian tube torsion from our institution.RESULTS: Fifteen cases of isolated fallopian tube torsion were identified based on intraoperative diagnosis. Patient ages ranged from 8-15 years old, mean age of 12. Fourteen patients (93%) presented with abdominal pain, 8 (53%) localized to the side of associated torsion. Ultrasonography reports described a tubular structure in 4 patients and an associated ovarian or paraovarian cyst in eleven patients. Suspicion of fallopian tube torsion was only described for those patients with a tubular structure described on ultrasonography report. Intraoperatively, 7 patients (47%) were found to have no associated pathology and 8 (53%) were found to have associated cyst or hydrosalpinx. Eight (53%) patients underwent salipingectomy and 7 (47%) underwent reversal of torsion with drainage of associated cyst or cystectomy.SETTING: Tertiary care medical center.STUDY OBJECTIVE: To identify and review cases of isolated fallopian tube torsion (FTT) at our institution to further characterize diagnosis and management.All authors: Casey RK, Damle LF, Gomez-Lobo VDigital Object Identifier:

http://dx.doi.org/10.1016/j.jpag.2013.02.010

Date added to catalog: 2014-02-24

Holdings ( 1 )
Title notes ( 10 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article		Available		23642839

Available online through MWHC library: 2002 - present

CONCLUSIONS: Isolated fallopian tube torsion is a rare condition that seems to occur in younger adolescents. Vague clinical presentation contributes to low preoperative suspicion. Preoperative suspicion may be increased based on radiographic findings of an enlarged tubular structure or an adjacent normal ovary. Management may be considered nonemergent and salpingectomy is controversial. Long-term fertility outcomes must be further assessed for more definitive decisions regarding surgical management. Copyright 2013 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

DESIGN: Retrospective review.

INTERVENTION: None.

MAIN OUTCOME MEASURE: Isolated fallopian tube torsion.

PARTICIPANTS: Case series of pediatric and adolescent females, <21 years old, with operatively diagnosed isolated fallopian tube torsion from our institution.

RESULTS: Fifteen cases of isolated fallopian tube torsion were identified based on intraoperative diagnosis. Patient ages ranged from 8-15 years old, mean age of 12. Fourteen patients (93%) presented with abdominal pain, 8 (53%) localized to the side of associated torsion. Ultrasonography reports described a tubular structure in 4 patients and an associated ovarian or paraovarian cyst in eleven patients. Suspicion of fallopian tube torsion was only described for those patients with a tubular structure described on ultrasonography report. Intraoperatively, 7 patients (47%) were found to have no associated pathology and 8 (53%) were found to have associated cyst or hydrosalpinx. Eight (53%) patients underwent salipingectomy and 7 (47%) underwent reversal of torsion with drainage of associated cyst or cystectomy.

SETTING: Tertiary care medical center.

STUDY OBJECTIVE: To identify and review cases of isolated fallopian tube torsion (FTT) at our institution to further characterize diagnosis and management.

English