Massive hydrosalpinx with torsion in second trimester of pregnancy: a case report
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20233655Keywords:
Fallopian tube torsion, Hydrosalpinx, Pregnancy, LaparotomyAbstract
Acute abdominal pain in pregnancy can be due to obstetrical (preterm labour), gastrointestinal, urinary causes etc. Pregnancy with large adnexal masses are rare presentations. This is a case report about a woman presenting to emergency with 16 weeks and 5 days of gestation with acute pain abdomen. Diagnosis of coexisting huge adnexal mass was made with ultrasound. No response to conservative therapy forced us to do laparotomy which showed huge hydrosalpinx with 4 twists around its pedicle. This case report emphasizes the need to keep hydrosalpinx with torsion in a differential diagnosis for acute pain abdomen in second or third trimester, especially if pain is not relieved on conservative management.
References
Jo JY, Cho IA, Shin JK, Lee SA, Choi WJ. Laparoscopic surgery for fallopian tube torsion due to benign tumour in the third trimester of pregnancy: a case report and literature review. J Obstet Gynaecol. 2022;42(7):2566-72.
Augustin G, Majerovic M. Non-obstetrical acute abdomen during pregnancy. Eur J Obstet Gynecol Reprod Biol. 2007;131(1):4-12.
Baradwan S, Baradwan A, Baradwan A, Al-Jaroudi D. Hydrosalpinx with acute abdominal pain during the third trimester of pregnancy: A case report. Case Rep Womens Health. 2018;8.
Origoni M, Cavoretto P, Conti E, Ferrari A. Isolated tubal torsion in pregnancy. Eur J Obstet Gynecol Reprod Biol. 2009;146(2):116-20.
Hadley JA. Torsion of a hydrosalpinx in pregnancy. Clin J. 1948;77(5):177.
Dahdouh EM, Balayla J, Gauthier R. Successful term delivery following second-trimester excision of a massive hydrosalpinx presenting as an adnexal mass in pregnancy: management and considerations. Clin Exp Obstet Gynecol. 2015;42(5):688-9.
Qian L, Wang X, Li D, Li S, Ding J. Isolated fallopian tube torsion with paraovarian cysts: a case report and literature review. BMC Womens Heal. 2021;21(1):345.
