Akademik Veri Yönetim Sistemi
Türk Alman Jinekoloji Kongresi, Antalya, Türkiye, 23 - 27 Nisan 2025, cilt.1, sa.1, ss.156, (Tam Metin Bildiri)
Spontaneous tubal torsion in pregnancy: an uncommon cause of
acute pain
Ömer Faruk Öz, Can Dinç
Akdeniz University, Faculty of Medicine
Tubal torsion is a rare but serious condition, particularly
during pregnancy, and its diagnosis can be challenging due to overlapping
symptoms with other acute abdominal pathologies. A 17-year-old primigravida at
31 weeks of gestation presented with acute right abdominal and pelvic pain,
dysuria, nausea, vomiting, and costovertebral angle tenderness. Ultrasound and
MRI revealed a hydropic right fallopian tube, a paratubal cyst, and right-sided
hydronephrosis. Laboratory findings showed leukocytosis and elevated C-reactive
protein levels, while urinalysis was unremarkable. Despite initial conservative
management with antenatal corticosteroids, neuroprotective magnesium therapy,
and antibiotic treatment, worsening pain and rising inflammatory markers led to
cesarean delivery. Intraoperative findings confirmed a necrotic, torsed right
fallopian tube and a twisted paratubal cyst. A right salpingectomy and
paratubal cyst excision were performed, with histopathological examination
confirming tubal infarction. This case highlights the diagnostic challenges of
tubal torsion in pregnancy and underscores the importance of timely surgical
intervention in cases of persistent pain and inflammatory response despite
conservative management.
Keywords: Tubal torsion, pregnancy, acute abdomen, emergency