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A rare case report: Management of paratubal cyst torsion in the second trimester and literature review.
Int J Surg Case Rep
January 2025
General Surgery Department, Military Hospital of Tunis, Mont Fleury-1008, Tunis, Tunisia; Faculty of Medicine of Tunis, 15, Djebel Lakhdhar Street - 1007 Bab Saadoun, Tunis, Tunisia.
Introduction And Importance: Paratubal cysts are common adnexal lesions that can lead to complications such as torsion, especially during pregnancy, presenting diagnostic challenges due to symptom overlap with acute surgical emergencies. This study details the clinical characteristics and management of paratubal cyst torsion through a case report and literature review.
Case Presentation: A 29-year-old pregnant woman at 28 weeks gestation presented with right iliac fossa pain and nausea.
Virilization, Ovarian Hyperthecosis, and Torsion Masquerading as Malignancy: A Case Report.
J Pediatr Adolesc Gynecol
December 2024
Department of Surgery, Division of Pediatric and Adolescent Gynecology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, Ohio. Electronic address:
Background: Premenopausal females with signs of androgen excess and oligomenorrhea are commonly evaluated for polycystic ovarian syndrome or for an androgen-secreting tumor if a pelvic mass is present. Ovarian hyperthecosis (OHT) as a cause of these symptoms in adolescents is rare.
Case: A 15 year-old female with primary amenorrhea and signs of virilization was referred to Pediatric and Adolescent Gynecology after pelvic imaging demonstrated a pelvic mass, suspected to be arising from the right ovary, and an adjacent paratubal cyst.
Acute Adnexa with Preserved Flow to the Ovary: Could Isolated Tubal Torsion Be the Cause?
J Pediatr Adolesc Gynecol
October 2024
Division of Pediatric Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
Article Synopsis
- The study focused on isolated tubal torsion (ITT), a surgical emergency that is not as well understood as ovarian torsion.
- Researchers reviewed medical records of patients with ITT and ovarian torsion from January 2019 to November 2022, analyzing demographics, imaging, and outcomes.
- Findings revealed that ITT patients had lower diagnostic imaging success compared to those with ovarian torsion, with significant differences in associated cysts and the urgency for surgical intervention.
Spontaneous Heterotopic Pregnancy: A Case Report of a Potentially Life-Threatening Condition.
Cureus
August 2024
Obstetrics and Gynecology, St. Vincent's Medical Center, Jacksonville, USA.
Heterotopic pregnancy involves the coexistence of both an intrauterine and an extrauterine pregnancy occurring simultaneously. The spontaneous incidence of heterotopic pregnancy in the general population has been estimated to be 1/30,000. This report discusses the case of a 37-year-old female who presented to the emergency department with vaginal bleeding and lower abdominal pain.
View Article and Find Full Text PDFAdnexal Torsion During Pregnancy in a Surrogate Patient Post-tubal Ligation: A Case Report.
Cureus
August 2024
Department of Obstetrics and Gynecology, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, USA.
Adnexal torsion during pregnancy is rare and is complicated by ambiguous symptoms and often nonspecific imaging findings. Differential diagnoses of torsion include a ruptured ovarian cyst, tubo-ovarian abscess, and appendicitis. A low threshold for the recommended surgical laparoscopy is necessary to avoid delayed diagnosis and fetal or maternal complications.
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