A Pediatric Case of Tubal Torsion Due to Paratubal Cyst Initially Suspected to Be Ovarian Torsion

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  • Shimamura Ai
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Ioka Emiko
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Togashi Yuichi
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Sakai Kohei
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Higashi Mayumi
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Fumino Shigehisa
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Aoi Shigeyoshi
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Furukawa Taizo
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Tajiri Tatsuro
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine

Bibliographic Information

Other Title
  • 卵巣囊腫茎捻転を疑われ，術中所見から傍卵管囊腫に伴う卵管捻転と診断された1例
  • 症例報告 卵巣囊腫茎捻転を疑われ,術中所見から傍卵管囊腫に伴う卵管捻転と診断された1例
  • ショウレイ ホウコク ランソウ ノウシュ ケイ ネンテン オ ウタガワレ,ジュッチュウ ショケン カラ ボウランカンノウ シュ ニ トモナウ ランカン ネンテン ト シンダン サレタ 1レイ

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<p>A 13-year-old girl visited a clinic because of left lower abdominal pain and frequent vomiting. She was suspected of having ovarian torsion because computed tomography (CT) showed a cystic lesion in the pelvic cavity; thus, she was referred to our hospital. Both ultrasound and CT showed a multicystic lesion 10 cm in diameter without a solid component in the left lower abdominal space above the bladder. The cystic components had no nouveau formation signs. She underwent emergent laparotomy under suspicion of ovarian torsion. The intraoperative findings were a cystic mass protruding from the surface of the left fallopian tube, which had been twisted 360° counterclockwise. We diagnosed this cystic mass as a paratubal cyst and performed cyst enucleation after confirming no injury to the blood supply of the left ovary. The postoperative course was uneventful. She was discharged from the hospital one week after surgery. Paratubal cyst is a rare disease. We herein report a case of tubal torsion due to a paratubal cyst initially suspected of being ovarian torsion and accurately diagnosed during surgery.</p>

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