A rare cause of acute abdominal pain in children: Isolated tubal torsion; a case series
Yasemin Dere Gunal1, Gokhan Berktug Bahadir2, Ozlem Boybeyı3, Aylin Pelin Cıl4, Mustafa Kemal Aslan1
1Kırıkkale University, Department of Pediatric Surgery, Kırıkkale, Turkey
2Mersin University, Department of Pediatric Surgery, Mersin, Turkey
3Hacettepe University, Department of Pediatric Surgery, Ankara, Turkey
4Kırıkkale University, Department of Obstetrics and Gynecology, Kırıkkale, Turkey
Keywords: Fallopian tube; Torsion; Paratubal cyst; Adolescent; Acute abdomen
Isolated tubal torsion -a rare cause of acute abdomen in children-is usually difficult to diagnose because of non-specific findings. Surgical salphingectomy is required in delayed diagnosis in most cases. Three sexual inactive adolescents diagnosed in isolated tubal torsion (ITT) were discussed for its diagnostic features and surgical management. Laboratory tests and radiological studies including ultrasonography (US), color doppler ultrasound were performed in all patients after evaluation for acute lower abdominal pain in emergency department and they underwent surgical intervention with laparotomy (n:2) and laparoscopy (n:1). One of the patients in this study had salpingectomy. Detorsion of the fallopian tube and cyst excision were performed in the remaining two patients who also had paratubal cysts. There was no recurrence in these patients during the follow-up for 3 and 2 years. The isolated tubal torsion should be kept in mind and early surgical management is essential in order to preserve fallopian tube because of its importance in fertility.