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
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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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This case report describes a rare clinical presentation involving a twisted fallopian tube containing an endometrioma in a young patient. The authors highlight the diagnostic challenges posed by overlapping symptoms of torsion and endometriosis, which can lead to delayed or incorrect initial assessments. Surgical intervention confirmed the presence of the tubal endometrioma alongside adnexal torsion, underscoring the complexity of managing such concurrent pathologies. This paper is centrally about endometriosis — specifically the occurrence of an endometrioma within the fallopian tube complicated by torsion.

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Abstract

BACKGROUND: Endometriotic 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. CASE: We 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 CONCLUSION: The 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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Tubal endometrioma within a twisted fallopian tube: a clinically complex diagnosis ContributorsWenger, Jean-Marie; Soave, I; Lo Monte, G; Petignat, Patrick; Marci, R Published inJournal of pediatric & adolescent gynecology, vol. 26, no. 1, p. e1-4 Publication date2013 Abstract UNIGE affiliation entities UNIGE research groups Citation (ISO format) WENGER, Jean-Marie et al. Tubal endometrioma within a twisted fallopian tube: a clinically complex diagnosis. In: Journal of pediatric & adolescent gynecology, 2013, vol. 26, n° 1, p. e1–4. doi: 10.1016/j.jpag.2012.06.005 Main files (1) Article (Published version) Identifiers - PID : unige:28802 - DOI : 10.1016/j.jpag.2012.06.005 - PMID : 23158757 Journal ISSN1083-3188

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Condition tags

endometriosisendometrioma

MeSH descriptors

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

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