腹腔鏡下手術を行なった卵管捻転4例の検討

抄録

  Fallopian tube torsion is a rare gynecological cause of acute abdominal pain. Fallopian tube torsion is known to occur during the reproductive age. We experienced four cases of fallopian tube torsion over 3 years, with three of the four cases occurring in nulligravida young women. We discuss the clinical features of our four cases and the problems of fallopian tube torsion in young women. They were referred to our hospital with acute abdominal pain, where emergency laparoscopic surgery was used to diagnose and treat the fallopian tube torsion. Three cases were isolated fallopian tube torsion, while one case was accompanied by a para-ovarian tumor. Although the degree of pain varied, abdominal pain and swollen tubes were observed in all cases. According to reports in Japan, many cases have occurred in their 10s to 30s.

  In particular, diagnosis is often delayed for young women who are yet to experience sexual intercourse because they often go to other departments and internal examination is difficult. Since early treatment is indispensable for the preservation of the fallopian tubes, it is important to consider fallopian tube torsion in cases of abdominal pain accompanying enlargement of the adnexal area.