
भारत में तेजी से बढ़ा 'एग फ्रीजिंग'(Egg Freezing India) का चलन: जानें सही उम्र, प्रक्रिया और खर्च - VR NEWS LIVE NEWS
भारत में तेजी से बढ़ा 'एग फ्रीजिंग'(Egg Freezing India) का चलन: जानें सही उम्र, प्रक्रिया और खर्च
VR News Live'Save the Tube in Isolated Paraovarian Cyst and Fallopian Tube Torsion: Nuances in Diagnosis and Minimally Invasive Surgery' - a case report in the #JaypeeJournals 'Advocacy for Maternal and Women’s Health' Collection on #ScienceOpen 🔓🔗 https://www.scienceopen.com/document?vid=77c7844d-3547-4b94-86b3-17d7b5bddc99
#FallopianTubeTorsion #ParaovarianCyst #FertilityPreservation #MinimallyInvasiveSurgery
Save the Tube in Isolated Paraovarian Cyst and Fallopian Tube Torsion: Nuances in Diagnosis and Minimally Invasive Surgery
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<h5 class="section-title" id="d32672e110">Introduction</h5>
<p dir="auto" id="d32672e112">When a woman comes in the emergency with acute pain in lower abdomen and vomiting,
adnexal torsion should be ruled out. The chances of isolated paraovarian cyst and
fallopian tube torsion are very rare with an incidence of 1 in 1.5 million women.
This case explores the nuances in its diagnosis and surgical management.
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<h5 class="section-title" id="d32672e115">Case presentation and discussion</h5>
<p dir="auto" id="d32672e117">This is a case of a para 1 woman, with acute abdomen and suspected case of ovarian
torsion. However, on laparoscopy, isolated fallopian tube torsion (IFTT) with a paraovarian
cyst was incidentally found. Detorsion and removal of the paraovarian cyst was done.
As some reperfusion was observed, salpingectomy wasn’t done. On follow-up, she had
conceived spontaneously within six months of the surgery.
</p>
<p dir="auto" id="d32672e119">Preoperative distinction between fallopian tube and ovarian torsion is very difficult.
Radiological signs like the “Whirlpool sign” or the “Beads on a string sign” can be
easily missed. The main surgical principles in laparoscopy include removal of the
paraovarian cysts and salpingectomy in parous women with hematosalpinx or tubal rupture.
However, in young women and in those who desire future pregnancy, tubes should be
conserved, even if they look black or unviable.
</p>
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<h5 class="section-title" id="d32672e122">Conclusion and clinical significance</h5>
<p dir="auto" id="d32672e124">A high index of suspicion for adnexal torsion is essential in all reproductive age
women with acute abdomen, vomiting and any adnexal mass. The final diagnosis of IFTT,
which is very rare, is only confirmed during laparoscopy, after proper anatomical
delineation. Decision regarding salpingectomy is a very crucial decision which depends
on the age and fertility needs of the woman. The fallopian tube can be left behind,
even if dark and unviable, as the maximum morbidity associated with leaving it would
be a blocked tube in a few, thus giving some scope of pregnancy in the women.
</p>
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<h5 class="section-title" id="d32672e127">How to cite this article</h5>
<p dir="auto" id="d32672e129">Arpita De, Nigam A. Save the Tube in Isolated Paraovarian Cyst and Fallopian Tube
Torsion: Nuances in Diagnosis and Minimally Invasive Surgery. J South Asian Feder
Obst Gynae 2025;17(2):213–216.
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ScienceOpenDiscover why freezing eggs is a proactive and smart option for preserving your fertility for the future. Learn about the egg freezing process, benefits, and considerations.
https://www.mrmed.in/health-library/womens-health/egg-freezing-fertility
#freezingeggs #eggfreezing #fertilitypreservation #womenshealth #fertility

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