Article Text
Summary
In this report, we describe an 18-year-old nulliparous virgo, with no medical history, who presented herself at the emergency department with symptoms of lower abdominal pain and nausea with vomiting. On examination, an echogenic unilocular cyst with possible relation to the right ovary was found. The working diagnosis was an ovarian torsion. She underwent a diagnostic laparoscopy which revealed a quadruple torsion of the fallopian tube with hydrosalpinx. Detorsion of the tube was performed, and the tube was drained using diathermic incision. After the surgery, the patient recovered rapidly. Ultrasonic evaluation 38 days later showed an echogenic area measuring 2×3 cm suspected for persistent hydrosalpinx. Because of the asymptomatic postoperative period, the patient was treated conservatively, and no further treatment was performed.
- obstetrics, gynaecology and fertility
- pregnancy
- reproductive medicine
Statistics from Altmetric.com
Footnotes
Contributors All authors have made a significant contribution to the manuscript. They have read and approved the final version. TZ contributed to patient care, conducting manuscript, reporting, conception and design. MB contributed to patient care, conducting manuscript, analysis of data and literature. EK contributed to patient care, analysis of data and literature, revising and supervision. LWP contributed to patient care, analysis of data and literature, revising and supervision.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.