From: Isolated fallopian tube torsion with paraovarian cysts: a case report and literature review
Authors | Case no | Age (years) | Duration of abdominal pain | Mode of pain | Another presentation | Blood test | Image examination | Preoperative diagnosis | Approach | Side | Twist time | Procedure | Measure of cyst | Pathology | Else |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Iffy et al. [19] | 1 | 23 | 2 episode pain during 3 weeks | Severe | – | WBC 8.700/ml | – | Ovarian cyst torsion | Laparotomy | Right | 3 | Salpingectomy | 7.0 × 6.5 × 6.0 cm3 | Cyst wall contain muscle fibres and layer of low columnar cells | In the puerperium |
Barkla [20] | 1 | 22 | 3-days | Severe | Vomiting + micturition 2 weeks | WBC 12,200/ml | – | Acute-on-chronic salpingitis | Laparotomy | Right | 3 | Salpingectomy | 5 cm in diameter | Tube is distended and infarcted | |
Howard et al. [21] | 2 | 23 | 4 h | Acute | – | Normal | US | Ovarian torsion | Laparotomy | Left | 3 | Untwisted | 5.5 × 4.3 × 3.6 cm3 | Benign, cuboidal epithelium | At 21 weeks' gestation |
Yalcin et al. [22] | 2 | 31 | 4-days | Intensity during last 2 days | – | Normal | US | Torsion of an ovarian cyst | Laparotomy | Right | 2 | Salpingectomy | 8.2 × 7.4 × 5.7 cm3 | Cyst wall epithelium | At 34 weeks' gestation |
Phupong et al. [23] | 1 | 34 | 2-days | – | Vomiting | WBC 15,000/ml | US | Twisted left ovarian cyst | Laparotomy | Left | 3 | Salpingectomy | 6 cm in diameter | Paratubal cyst | At 28 weeks' gestation |
Breitowicz et al. [10] | 1 | 14 | 5-months | GROWING frequency and intensity | Vomiting | – | US | – | Laparascopy | Both | Both 2 | Bilateral salpingectomy | 5.5 * 7.0 cm2 and 5.5 * 9.3 cm2 | Cysts recognized as paramesonephric cysts | Both side torsion |
2 | 17 | – | Progressing turn to suddenly pain | Vominting + couple of months abdominal pain after intercourse | – | US | – | Laparascopy | Left | 4 | Salpingectomy | 4.0 * 5.0 cm2 | Recognized as a paramesonephric cyst | Sexually active, using hormonal contraception | |
Grover [24] | 11.5 | 28-h | Progressiively worsening | – | – | US | Torted ovarian cyst, hemorrhagic ovarian cyst, or appendix abscess | Laparascopy | Right | 1 | Salpingectomy | 5 * 5 cm2 | – | ||
Said et al. [25] | 12 | 2-days | Sudden in onset | Vomiting + tachycardia | WBC 18.660/ml | US | Torsion | Laparoscopy | Right | 3 | Untwisted | 9.76 * 9.1 cm2 | Right mesothelial cysts | Long-standing history of being overweight, BMI42 | |
Seshadri et al. [11] | 12 | 2-day | – | Vomitng | WBC 18,000/ml | US | Appendicular mass | Laparoscopy | Right | – | Salpingectomy | 7.7 * 6.5 cm2 and 8*4.6 cm2 | Benign | ||
Rajaram et al. [26] | 18 | 7-day | Aggravation the last 2 days | – | Normal | US | – | Laparoscopy | Right | 2.5 | Salpingectomy | 4 × 4 cm2 | Paratubal cyst lined by mesothelium | ||
Blitz et al. [3] | 14 | – | – | Vomiting | WBC 8800/mL | US + CT | – | Laparoscopy | Right | – | Salpingectomy | 2 cm in diameter | – | Tube associated with noncommunicating rudimentary horn | |
Ryu et al. [17] | 70 | – | Acute | – | CRP 29.5 mg/L, CA 19–9 1146 IU/ml, | US + CT | Adnexal torsion | Laparoscopy | Both | Right: 1; left: 2 | Radical resection | 4 cm right, 6 cm left | Serous papillary adenocarcinoma; paratubal cyst of mesothelial origin | Malignant paratubal cancers and both torsion | |
Radoica Jokić et al. [16] | 16 | 2-days | Acute | – | Normal | US | Torsion of the right adnexal | Laparoscopy | Right | 2 | Appendectomy and untwist tube | 5 × 4 cm2 | Chronic appendicitis and simple paratubal cyst | Received hormonal therapy for PCOS; with appendicitis | |
Gunal et al. [27] | 1 | 12 | 3-days | Acute | – | WBC 12,300/ml | US | – | Laparotomy | Left | 2 | Untwisted | 5 * 5 cm2 | Simple cyst lined by single layer of tubal type epithelium with hemorrhages | |
3 | 13 | 4-h | Acute | – | Normal | US | Tubal torsion | Laparoscopy | Right | – | Untwisted | 5.5 cm in diameter | MESONEFRIC paratubal cyst | ||
Yeamie et al. [14] | 13 | 2 days | Bearable to intolerable | Vomiting + diarrhea | – | US + MRI | Tubal torsion according to MRI | – | Right | – | – | – | – | – | |
Ottino et al. [28] | 11 | 1-day | Intermittent to worsened | – | Normal | US | – | Laparoscopic | Right | 2 | Salpingectomy | 5.7 * 3.9 cm2 | Benign paratubal cyst with a dilated fallopian tube | – | |
Takeda et al. [29] | 30 | Seven hours | Acute | Vomiting + uterine contractions occurred | WBC 13.100/ml | US + MRI | Isolated tubal torsion due to MRI | LESS surgery | Right | – | Salpingectomy | 4 cm in diameter | Paratubal cyst | At 30 + 5 weeks' gestation | |
Ours | 13 | 2 episode pain during 12 days | Acute in last 2 days | – | Normal | US | Tubal torsion | Laparoscopic | Right | 3 | Untwisted | 5.5 cm in diameter | Serous cystadenoma |