Tubal Endometrioma Within a Twisted Fallopian Tube: A Clinically Complex Diagnosis

Wenger JM, Jean Marie Wenger, J M Wenger, Ilaria Soave, Soave I, I Soave, Lo Monte G, G Lo Monte, Giuseppe Lo Monte, P Petignat, Patrick Petignat, R Marci, Roberto Marci
Journal of Pediatric and Adolescent Gynecology · 2013 · vol. 26(1) , pp. e1–e4 · doi:10.1016/j.jpag.2012.06.005 · PMID:23158757 · W2052582096
article OA: closed CC0 ⤵ 5 in-corpus citations
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This case report describes a woman with a twisted fallopian tube that contained a tubal endometrioma, highlighting the diagnostic challenges of this rare condition.

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Abstract

BackgroundEndometriotic lesions affect the fallopian tubes in 6% of patients with endometriosis and adhesions involve the salpinges in 26%. Different studies report that 45%-70% of adolescents with chronic pelvic pain have endometriosis diagnosed at the time of laparoscopy.CaseWe report a case of an 18-year-old girl with a tubal torsion due to a tubal endometrioma. The endometriotic nodule before laparoscopy appeared to be located in the rectovaginal septum. At laparoscopy, a right fallopian tube torsion was visible and several adhesions were connecting the lesion to the pouch of Douglas' walls.Summary and conclusionThe tenacious adhesions, which welded the nodule to the walls of the pouch of Douglas, did not allow to distinguish at the MRI a tubal endometrioma from a rectovaginal endometriotic mass, justifying the false diagnosis.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Fallopian Tube Diseases Fallopian Tubes Torsion Abnormality Adolescent Diagnosis, Differential Endometriosis Endometriosis Endometriosis Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tubes Female Humans Laparoscopy Torsion Abnormality Torsion Abnormality Torsion Abnormality

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (35)

Cited by (5)

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