Case Report
Authors: Ahmed M. Abbas (Department of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt) , Shymaa S. Ali (Department of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt) , Armia Michael (Department of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt) , Ahmed A. Mohamed (Department of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt)
Adnexal torsion is a twisting of the adnexa, including the ovary and/or the fallopian tube, around its own vascular axis. Most cases of adnexal torsion occur in women of reproductive age and only rarely in postmenopausal women. Here, we report a case of 58-year-old woman, postmenopausal for 6 years, who presented with acute lower abdominal pain. Ultrasound scan showed a right-sided, well-circumscribed, cystic mass measuring 50x57 mm with low level echoes. Doppler evaluation revealed no blood flow signals inside the mass. Abdominal exploration revealed right adnexal torsion. Salpingo-oophorectomy was done and histopathological examination revealed a twisted, gangrenous hydrosalpinx with no pathological lesion in the ovary. The patient was discharged on the fourth postoperative day. Although adnexal torsion in postmenopausal women is a rare event, it should not be ignored in those women who present with abdominal pain. A longer delay between admission and surgery may be attributed to the rarity and non-specific symptoms of the disease in this age group.
Keywords: Adnexal torsion, fallopian tube, hydrosalpinx, abdominal pain, postmenopause
How to Cite: Abbas, A. M. , Ali, S. S. , Michael, A. & Mohamed, A. A. (2017) “Uncommon case of hydrosalpinx-induced adnexal torsion in a postmenopausal woman”, Proceedings in Obstetrics and Gynecology. 7(3). doi: https://doi.org/10.17077/2154-4751.1358