Isolated tubal torsion: a rare cause of pelvic pain at menarche. Sonographic and MR findings

Isolated torsion of the fallopian tube is a rare clinical entity, especially in adolescents and at menarche. The diagnosis is essentially made at laparoscopy or at laparotomy because of nonspecific clinical signs. We present a case of isolated tubal torsion in a 12-year-old girl a few days after men...

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Veröffentlicht in:Pediatric radiology 2006-12, Vol.36 (12), p.1316-1318
Hauptverfasser: Orazi, Cinzia, Inserra, Alessandro, Lucchetti, M Chiara, Schingo, Paolo M S
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container_issue 12
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container_title Pediatric radiology
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creator Orazi, Cinzia
Inserra, Alessandro
Lucchetti, M Chiara
Schingo, Paolo M S
description Isolated torsion of the fallopian tube is a rare clinical entity, especially in adolescents and at menarche. The diagnosis is essentially made at laparoscopy or at laparotomy because of nonspecific clinical signs. We present a case of isolated tubal torsion in a 12-year-old girl a few days after menarche, highlighting the sonographic and MR findings. Both techniques demonstrated the enlarged and tortuous fallopian tube with normal ovaries and uterus, but MR was also able to characterize contained blood and absent vascular supply. Although this condition is uncommon it should be considered as a cause of acute pelvic pain in adolescents because of the possibility of salvage surgery with early diagnosis. Sonography and MRI have a complementary role in this diagnosis.
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subjects Child
Diagnosis, Differential
Fallopian Tube Diseases - diagnosis
Fallopian Tube Diseases - surgery
Fallopian Tubes - diagnostic imaging
Fallopian Tubes - pathology
Fallopian Tubes - surgery
Female
Humans
Magnetic Resonance Imaging - methods
Menarche
Necrosis
Pelvic Pain - etiology
Rare Diseases
Torsion Abnormality - diagnosis
Ultrasonography, Doppler, Color - methods
title Isolated tubal torsion: a rare cause of pelvic pain at menarche. Sonographic and MR findings
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