Fallopian tube torsion caused by extremely large Morgagni hydatid: A very rare cause of acute abdomen in a virgin adolescent

Milan M. Terzic, Nebojsa N. Arsenovic, Sanja B. Maricic, Ivana R. Babovic, Igor Z. Pilic, Jovan S. Bila

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Torsion of the fallopian tube is rare and generally isolated and unilateral. We report a case of acute abdominal pain in an adolescent virgin female caused by a complete torsion that resulted in an infarction of the left fallopian tube. On surgery, extremely large hydatid of Morgagni was found, that caused torsion of the fallopian tube threefold. Case: An 18-year-old virgin presented with severe abdominal pain in the left lower quadrant accompanied by vomiting for three hours. Abdominal examination revealed tenderness and guarding in the left lower abdominal part while on rectal examination there was a palpable mass in the left adnexal region, but no mass or tenderness in the cul-de-sac. Blood (CBC, ESR, CA -125, and serum β-human chorionic gonadotrophin) and urine tests were all within a normal range. Ultrasound scan showed a left adnexal unilocular cyst approximately 10 cm in diameter with no solid areas or ascites. At laparotomy performed due to acute abdomen, the left fallopian tube was twisted threefold, distended and turned into a black colored cyst. The left salpingectomy was performed, electrosurgically, using Ligashure®. Microscopic examination showed a hemorrhagic and necrotic tube and fimbrial cyst lined with flat cuboidal epithelium indicating origin from the hydatid of Morgagni. The postoperative course was uneventful, and she was discharged on the 3rd postoperative day. Conclusion: Large Morgagni hydatid is an extremely rare cause of tubal torsion that is usually detected at surgery. Surgical treatment should not be delayed, although a majority of adolescent females loose function of the twisted oviduct at the time of surgery.

Original languageEnglish
Pages (from-to)349-352
Number of pages4
JournalCentral European Journal of Medicine
Volume6
Issue number3
DOIs
Publication statusPublished - Jun 1 2011

Keywords

  • Abdominal pain
  • Acute abdomen
  • Fallopian tube torsion
  • Hydatid of Morgagni

ASJC Scopus subject areas

  • Medicine(all)

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