Fallopian tube necrosis after postpartum sterilization.
Because it usually presents with nonspecific symptoms and occurs rarely, the diagnosis of fallopian tube torsion and necrosis is usually done at laparotomy. A 32 year-old woman returned to the hospital with right lower quadrant pain three days after a postpartum tubal sterilization procedure. Clinical, laboratory and imaging findings did not assist with the diagnosis. At laparotomy, after dissection of adhesions, a necrotic right fallopian tube was found. A salpingectomy was performed and the patient had an uneventful postoperative course. Fallopian tube torsion should be included in the differential diagnosis of pelvic pain in women. This patient has a good prognosis.
Poma
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Department of Obstetrics and Gynecology, Ravenswood Hospital Center, Chicago, Illinois 60640-5205, USA.
Barber
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A
D000328:Adult; D005184:Fallopian Tube Diseases / Q000209:etiology* / Q000473:pathology* / Q000601:surgery; D005187:Fallopian Tubes / Q000473:pathology* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007813:Laparotomy; D009336:Necrosis; D049590:Postpartum Period; D011247:Pregnancy; D018570:Risk Assessment; D013246:Sterilization, Tubal / Q000009:adverse effects* / Q000379:methods; D016896:Treatment Outcome