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Spontaneous Autoamputation of Adnexa
Mariam S Banoub1, Elena M Konrath1, Burhan A Khan1,2
1Department of Obstetrics and Gynecology, University of Illinois College of Medicine, Peoria, Illinois. (Ms. Banoub and Drs. Konrath, Khan, and Elkattah).
CRSLS : MIS Case Reports From SLS
|October 24, 2024
Summary
Acquired ovarian torsion can lead to autoamputation of fallopian tube structures. Prompt surgical detorsion is crucial for treating this rare gynecologic emergency in women of reproductive age.
Area of Science:
- Gynecologic surgery
- Reproductive endocrinology
Background:
- Acquired ovarian torsion is an uncommon gynecologic emergency.
- It requires surgical correction in women of reproductive age.
- A rare complication is necrosis and autoamputation of adnexal structures.
Observation:
- A 28-year-old nulliparous woman presented with symptoms including irregular menses, dysmenorrhea, menorrhagia, and nausea.
- Pelvic imaging revealed a large, tubular-cystic mass separate from the right ovary.
- Intraoperative findings included adhesions and dilation of the right fallopian tube.
Findings:
- Histopathology confirmed dilated, cystic structures with tubal-type epithelial lining.
- A dilated fallopian tube lumen consistent with hydrosalpinx was identified.
- The findings suggest autoamputation of the fallopian tube secondary to torsion.
Implications:
- Autoamputation of the fallopian tube is a rare but serious complication of adnexal torsion.
- Prompt intraoperative detorsion is the recommended treatment.
- This case highlights the importance of timely surgical intervention for adnexal torsion.
