PARTIAL STRANGULATED NECROSIS OF THE TUBAL FIMBRIAE IN A 13-YEAR-OLD GIRL-A CASE REPORT-

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  • 卵管采部分絞扼壊死の1例

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Abstract

A very rare case of partial strangulated necrosis of the tubal fimbriae is reported. A 13-year-old girl was admitted to the hospital because of right lower abdominal pain. She was afebrile and white blood cell count was 6700. No abnormal findings were found by gynecological examination. Since intolerable right lower abdominal pain gradually increased, a laparotomy was performed. The appendix was normal and isolated strangulated necrosis of three fragments of the right tubal fimbria was observed. One fragment of the fimbriae was adhesive with a distal tube, formed a ring and near three fragments went into the ring, resulting in strangulation. To our knowledge, there has been no report with such a case. The cause of the adhesion was unknown. The preoperative diagnosis of this disease is very difficult, but it is important to examine the adnex at the question of a young girl with lower abdominal pain and without leucocvtosis.

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