Gebede Görülen İzole Tuba Torsiyonu

Abstract

Isolated tubal torsion is a rare cause of acute abdomen in pregnancy. The definite diagnosis is a very challenging task because it has no pathognomonic clinical symptoms or findings on imaging or in laboratory studies. We report a 22-week-old pregnant presenting with right lower abdomen pain radiating to her groin with nause and vomiting, who was operated with the preoperative diagnosis of adnexal torsion, adnexal mass and acute appendicites. During laparotomy right fallopian tube was found twisted among itself and became a cystic mass. Other organs were normal. The colour of tube became normal soon after detorsion so salpingectomy procedure were not performed. We conclude that isolated tubal torsion should be kept in mind in the differential diagnosis of acute abdomen in pregnancy and salpingectomy can be avoided with correct and in time diagnosis.