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Isolated Fallopian Tube Torsion in Pediatric and Adolescent Females: A Retrospective Review of 15 cases at a Single Institution
Abstract Study Objective To identify and review cases of isolated fallopian tube torsion (FTT) at our institution to further characterize diagnosis and management. Design Retrospective review. Setting Tertiary care medical center. Participants Case series of pediatric and adolescent females,
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| Published in: | Journal of pediatric & adolescent gynecology 2013-06, Vol.26 (3), p.189-192 |
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| container_title | Journal of pediatric & adolescent gynecology |
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| creator | Casey, Rachel K., MD Damle, Lauren F., MD Gomez-Lobo, Veronica, MD |
| description | Abstract Study Objective To identify and review cases of isolated fallopian tube torsion (FTT) at our institution to further characterize diagnosis and management. Design Retrospective review. Setting Tertiary care medical center. Participants Case series of pediatric and adolescent females, |
| doi_str_mv | 10.1016/j.jpag.2013.02.010 |
| format | article |
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Design Retrospective review. Setting Tertiary care medical center. Participants Case series of pediatric and adolescent females, <21 years old, with operatively diagnosed isolated fallopian tube torsion from our institution. Intervention None. Main Outcome Measure Isolated fallopian tube torsion. Results Fifteen cases of isolated fallopian tube torsion were identified based on intraoperative diagnosis. Patient ages ranged from 8-15 years old, mean age of 12. Fourteen patients (93%) presented with abdominal pain, 8 (53%) localized to the side of associated torsion. Ultrasonography reports described a tubular structure in 4 patients and an associated ovarian or paraovarian cyst in eleven patients. Suspicion of fallopian tube torsion was only described for those patients with a tubular structure described on ultrasonography report. Intraoperatively, 7 patients (47%) were found to have no associated pathology and 8 (53%) were found to have associated cyst or hydrosalpinx. Eight (53%) patients underwent salipingectomy and 7 (47%) underwent reversal of torsion with drainage of associated cyst or cystectomy. Conclusions Isolated fallopian tube torsion is a rare condition that seems to occur in younger adolescents. Vague clinical presentation contributes to low preoperative suspicion. Preoperative suspicion may be increased based on radiographic findings of an enlarged tubular structure or an adjacent normal ovary. Management may be considered nonemergent and salpingectomy is controversial. Long-term fertility outcomes must be further assessed for more definitive decisions regarding surgical management.</description><identifier>ISSN: 1083-3188</identifier><identifier>EISSN: 1873-4332</identifier><identifier>DOI: 10.1016/j.jpag.2013.02.010</identifier><identifier>PMID: 23642839</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abdominal Pain - etiology ; Adnexal torsion ; Adolescent ; Child ; Fallopian Tube Diseases - complications ; Fallopian Tube Diseases - diagnostic imaging ; Fallopian Tube Diseases - surgery ; Fallopian tube torsion ; Female ; Humans ; Obstetrics and Gynecology ; Ovarian Cysts - diagnostic imaging ; Pediatrics ; Retrospective Studies ; Salpingectomy ; Torsion Abnormality - complications ; Torsion Abnormality - diagnostic imaging ; Torsion Abnormality - surgery ; Tubal torsion ; Ultrasonography</subject><ispartof>Journal of pediatric & adolescent gynecology, 2013-06, Vol.26 (3), p.189-192</ispartof><rights>North American Society for Pediatric and Adolescent Gynecology</rights><rights>2013 North American Society for Pediatric and Adolescent Gynecology</rights><rights>Copyright © 2013 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-dd43f72350bf73f46d830fb6829aa7fd2c93113ce44698f5ec7420f164acf78a3</citedby><cites>FETCH-LOGICAL-c477t-dd43f72350bf73f46d830fb6829aa7fd2c93113ce44698f5ec7420f164acf78a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23642839$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Casey, Rachel K., MD</creatorcontrib><creatorcontrib>Damle, Lauren F., MD</creatorcontrib><creatorcontrib>Gomez-Lobo, Veronica, MD</creatorcontrib><title>Isolated Fallopian Tube Torsion in Pediatric and Adolescent Females: A Retrospective Review of 15 cases at a Single Institution</title><title>Journal of pediatric & adolescent gynecology</title><addtitle>J Pediatr Adolesc Gynecol</addtitle><description>Abstract Study Objective To identify and review cases of isolated fallopian tube torsion (FTT) at our institution to further characterize diagnosis and management. Design Retrospective review. Setting Tertiary care medical center. Participants Case series of pediatric and adolescent females, <21 years old, with operatively diagnosed isolated fallopian tube torsion from our institution. Intervention None. Main Outcome Measure Isolated fallopian tube torsion. Results Fifteen cases of isolated fallopian tube torsion were identified based on intraoperative diagnosis. Patient ages ranged from 8-15 years old, mean age of 12. Fourteen patients (93%) presented with abdominal pain, 8 (53%) localized to the side of associated torsion. Ultrasonography reports described a tubular structure in 4 patients and an associated ovarian or paraovarian cyst in eleven patients. Suspicion of fallopian tube torsion was only described for those patients with a tubular structure described on ultrasonography report. Intraoperatively, 7 patients (47%) were found to have no associated pathology and 8 (53%) were found to have associated cyst or hydrosalpinx. Eight (53%) patients underwent salipingectomy and 7 (47%) underwent reversal of torsion with drainage of associated cyst or cystectomy. Conclusions Isolated fallopian tube torsion is a rare condition that seems to occur in younger adolescents. Vague clinical presentation contributes to low preoperative suspicion. Preoperative suspicion may be increased based on radiographic findings of an enlarged tubular structure or an adjacent normal ovary. Management may be considered nonemergent and salpingectomy is controversial. Long-term fertility outcomes must be further assessed for more definitive decisions regarding surgical management.</description><subject>Abdominal Pain - etiology</subject><subject>Adnexal torsion</subject><subject>Adolescent</subject><subject>Child</subject><subject>Fallopian Tube Diseases - complications</subject><subject>Fallopian Tube Diseases - diagnostic imaging</subject><subject>Fallopian Tube Diseases - surgery</subject><subject>Fallopian tube torsion</subject><subject>Female</subject><subject>Humans</subject><subject>Obstetrics and Gynecology</subject><subject>Ovarian Cysts - diagnostic imaging</subject><subject>Pediatrics</subject><subject>Retrospective Studies</subject><subject>Salpingectomy</subject><subject>Torsion Abnormality - complications</subject><subject>Torsion Abnormality - diagnostic imaging</subject><subject>Torsion Abnormality - surgery</subject><subject>Tubal torsion</subject><subject>Ultrasonography</subject><issn>1083-3188</issn><issn>1873-4332</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNp9kU-LFDEQxRtR3HX1C3iQHL10m3_TSYsIw7KjAwuKO4K3kEkqS9qeZEzSK3vyq5tmVg8ePFUVvPfg_appXhLcEUz6N2M3HvVtRzFhHaYdJvhRc06kYC1njD6uO5asZUTKs-ZZziPGWKx6-bQ5o6znVLLhvPm1zXHSBSza6GmKR68D2s17QLuYso8B-YA-g_W6JG-QDhatbZwgGwgFbeCg6_4WrdEXKCnmI5ji76Bedx5-ougQWSGjM2SkC9LoxofbCdA25OLLXGr-8-aJ01OGFw_zovm6udpdfmyvP33YXq6vW8OFKK21nDlB2QrvnWCO91Yy7Pa9pIPWwllqBkYIM8B5P0i3AiM4xY70XBsnpGYXzetT7jHFHzPkog6-lpgmHSDOWRHGBzxwwXCV0pPU1EY5gVPH5A863SuC1QJejWoBrxbwClNVwVfTq4f8eX8A-9fyh3QVvDsJoLasdJLKxkMwlW2q1JSN_v_57_-xm8kHb_T0He4hj3FOofJTROVqUDfL65fPE4arvf_GfgMgKalg</recordid><startdate>20130601</startdate><enddate>20130601</enddate><creator>Casey, Rachel K., MD</creator><creator>Damle, Lauren F., MD</creator><creator>Gomez-Lobo, Veronica, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130601</creationdate><title>Isolated Fallopian Tube Torsion in Pediatric and Adolescent Females: A Retrospective Review of 15 cases at a Single Institution</title><author>Casey, Rachel K., MD ; Damle, Lauren F., MD ; Gomez-Lobo, Veronica, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-dd43f72350bf73f46d830fb6829aa7fd2c93113ce44698f5ec7420f164acf78a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Abdominal Pain - etiology</topic><topic>Adnexal torsion</topic><topic>Adolescent</topic><topic>Child</topic><topic>Fallopian Tube Diseases - complications</topic><topic>Fallopian Tube Diseases - diagnostic imaging</topic><topic>Fallopian Tube Diseases - surgery</topic><topic>Fallopian tube torsion</topic><topic>Female</topic><topic>Humans</topic><topic>Obstetrics and Gynecology</topic><topic>Ovarian Cysts - diagnostic imaging</topic><topic>Pediatrics</topic><topic>Retrospective Studies</topic><topic>Salpingectomy</topic><topic>Torsion Abnormality - complications</topic><topic>Torsion Abnormality - diagnostic imaging</topic><topic>Torsion Abnormality - surgery</topic><topic>Tubal torsion</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Casey, Rachel K., MD</creatorcontrib><creatorcontrib>Damle, Lauren F., MD</creatorcontrib><creatorcontrib>Gomez-Lobo, Veronica, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric & adolescent gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Casey, Rachel K., MD</au><au>Damle, Lauren F., MD</au><au>Gomez-Lobo, Veronica, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Isolated Fallopian Tube Torsion in Pediatric and Adolescent Females: A Retrospective Review of 15 cases at a Single Institution</atitle><jtitle>Journal of pediatric & adolescent gynecology</jtitle><addtitle>J Pediatr Adolesc Gynecol</addtitle><date>2013-06-01</date><risdate>2013</risdate><volume>26</volume><issue>3</issue><spage>189</spage><epage>192</epage><pages>189-192</pages><issn>1083-3188</issn><eissn>1873-4332</eissn><abstract>Abstract Study Objective To identify and review cases of isolated fallopian tube torsion (FTT) at our institution to further characterize diagnosis and management. Design Retrospective review. Setting Tertiary care medical center. Participants Case series of pediatric and adolescent females, <21 years old, with operatively diagnosed isolated fallopian tube torsion from our institution. Intervention None. Main Outcome Measure Isolated fallopian tube torsion. Results Fifteen cases of isolated fallopian tube torsion were identified based on intraoperative diagnosis. Patient ages ranged from 8-15 years old, mean age of 12. Fourteen patients (93%) presented with abdominal pain, 8 (53%) localized to the side of associated torsion. Ultrasonography reports described a tubular structure in 4 patients and an associated ovarian or paraovarian cyst in eleven patients. Suspicion of fallopian tube torsion was only described for those patients with a tubular structure described on ultrasonography report. Intraoperatively, 7 patients (47%) were found to have no associated pathology and 8 (53%) were found to have associated cyst or hydrosalpinx. Eight (53%) patients underwent salipingectomy and 7 (47%) underwent reversal of torsion with drainage of associated cyst or cystectomy. Conclusions Isolated fallopian tube torsion is a rare condition that seems to occur in younger adolescents. Vague clinical presentation contributes to low preoperative suspicion. Preoperative suspicion may be increased based on radiographic findings of an enlarged tubular structure or an adjacent normal ovary. Management may be considered nonemergent and salpingectomy is controversial. Long-term fertility outcomes must be further assessed for more definitive decisions regarding surgical management.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23642839</pmid><doi>10.1016/j.jpag.2013.02.010</doi><tpages>4</tpages></addata></record> |
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| ispartof | Journal of pediatric & adolescent gynecology, 2013-06, Vol.26 (3), p.189-192 |
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| language | eng |
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| source | ScienceDirect Freedom Collection 2022-2024 |
| subjects | Abdominal Pain - etiology Adnexal torsion Adolescent Child Fallopian Tube Diseases - complications Fallopian Tube Diseases - diagnostic imaging Fallopian Tube Diseases - surgery Fallopian tube torsion Female Humans Obstetrics and Gynecology Ovarian Cysts - diagnostic imaging Pediatrics Retrospective Studies Salpingectomy Torsion Abnormality - complications Torsion Abnormality - diagnostic imaging Torsion Abnormality - surgery Tubal torsion Ultrasonography |
| title | Isolated Fallopian Tube Torsion in Pediatric and Adolescent Females: A Retrospective Review of 15 cases at a Single Institution |
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