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Publication
Torção de hematossalpinge numa adolescente
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Abstract(s)
Introdução: A torção da trompa de Falópio é uma causa rara de dor abdominal aguda. A gravidez ectópica, hidro ou hematossalpinge, endometriose, tumefações anexiais e outras causas de patologia anexial são fatores predisponentes. O diagnóstico é difícil de estabelecer, uma vez que os sinais clínicos,
laboratoriais e imagiológicos são pouco específicos. O diagnóstico definitivo requer uma abordagem cirúrgica.
Caso clínico: Os autores apresentam um caso de hematossalpinge e torção da mesma numa adolescente virgem sem fatores de risco conhecidos.
Discussão: O caso evidencia a importância da reflexão sobre causas de hematossalpinge e recorda esta patologia como diagnóstico diferencial.
Introduction: Isolated fallopian tube torsion is an uncommon cause of acute lower abdominal pain. Ectopic pregnancy, hydro or hematosalpinx, endometriosis, adnexal masses and other causes of adnexal disease are predisposing factors. The diagnosis is difficult and often delayed due to the lack of pathognomonic symptoms, characteristic physical signs, and specific imaging and laboratory studies. Definitive diagnosis requires a surgical approach. Case report: The authors present a case of hematosalpinx and its tubal torsion in a virgin teenager with no prior predisposing factors. Discussion: This rare case may highlight a new insight into pathophysiology of tubal torsion and recalls hematosalpinx as a differential diagnosis
Introduction: Isolated fallopian tube torsion is an uncommon cause of acute lower abdominal pain. Ectopic pregnancy, hydro or hematosalpinx, endometriosis, adnexal masses and other causes of adnexal disease are predisposing factors. The diagnosis is difficult and often delayed due to the lack of pathognomonic symptoms, characteristic physical signs, and specific imaging and laboratory studies. Definitive diagnosis requires a surgical approach. Case report: The authors present a case of hematosalpinx and its tubal torsion in a virgin teenager with no prior predisposing factors. Discussion: This rare case may highlight a new insight into pathophysiology of tubal torsion and recalls hematosalpinx as a differential diagnosis
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Keywords
Adolescente hematossalpinge torção trompa de Falópio Adolescent fallopian tube hematosalpinx torsion
Citation
Nascer e Crescer 2014; 23(2): 92-94