Acute abdomen in a term pregnancy due to isolated tubal torsion

Abstract

Objective: Isolated tubal torsion in pregnancy is a rare condition we want to present this case. Case: In our study, we present a 23-year-old woman primigravida at 37 weeks of gestation with acute right lower abdominal pain. The clinical and Magnetic resonance imaging (MRI) findings led to diagnosis of acute appendicitis. Emergency exploratory laparotomy and cesarean section were performed. A twisted right Fallopian tube and Morgagni’s cyst was noted and right salpingectomy was performed. Conclusion: Although isolated tubal torsion during pregnancy is very rare, it should be included in the differential diagnosis of acute abdomen in pregnancy. Early surgical intervention will decrease obstetric morbidity

Özet

Amaç: Nadir bir durum olan gebelikte izole tubal torsiyon olgusunu sunmak. Olgu: Çal›flmam›zda, sa¤ alt kadranda abdominal a¤r›s› olan, 23 yafl›nda primigravida ve 37. gebelik haftas›nda olan bir olguyu sunduk. Klinik ve manyetik rezonans görüntüleme (MRG) bulgular›, akut apandisit tan›s›na iflaret etmekteydi. Acil eksploratif laparotomi ve sezaryen do¤um gerçeklefltirildi. Bükülmüfl sa¤ Fallop tüpü ve Morgagni kisti gözlemlendi ve sa¤ salpenjektomi yap›ld›. Sonuç: Gebelikte izole tubal torsiyon nadir olsa da, gebelikte akut abdomenin ay›r›c› tan›s›na dahil edilmelidir. Erken cerrahi müdahale, obstetrik morbiditeyi azaltacakt›r.