ABSTRACT
Torsion of uterine adnexa is an important cause of acute abdominal pain in females. The main organ which can cause torsion is the ovaries, but torsions of the fallopian tube, subserosal myoma, paratubal cyst, and even the uterine body have been reported. The incidence of isolated fallopian tubal torsion is very rare. Even more rarely, it can coil around nearby organs such as the utero-ovarian ligament, showing similar clinical manifestations with those of adnexal torsion. We experienced an extremely rare case of acute abdomen induced by ovarian congestion triggered by the fallopian tube accompanying a paratubal cyst coiling around the utero-ovarian ligament. The right paratubal cyst was misinterpreted as being part of a cystic component of the left ovary on preoperative sonographic examination, and the coiling of the right fallopian tube accompanying the paratubal cyst was misdiagnosed as torsion of the right ovary. We report this rare case with a brief literature review.
ABSTRACT
BACKGROUND: The etiology of cervical heterotopic pregnancy is unknown, but most are associated with assisted reproductive techniques. Various types of conservative management to save the intrauterine pregnancy have been attempted. CASE: A 35-year-old woman conceived after in vitro fertilization/embryo transfer for primary malefactor infertility. At 7(3/7) weeks of gestation, only the embryo was aspirated without fluid. Delivery of a healthy infant at 35 weeks was successful. CONCLUSION: Simple embryo aspiration under transvaginal ultrasonography guidance can be used in cervical heterotopic pregnancy.
