Abstract:

Tube torsion refers to a gynecological acute abdominal disease, in which the fallopian tube rotates on its own axis without ipsilateral ovarian torsion. The incidence is reported to be 1/1 500 000, of which about 12% occurs during pregnancy. The diagnosis of tubal torsion is very difficult, and its clinical symptoms are not typical, with a wide range of differential diagnosis and easy to be misdiagnosed. A number of studies have shown that MRI has a higher diagnostic accuracy than ultrasound. Surgery is the standard diagnosis and therapy of tubal torsion, and the choice of surgical method is also a challenge for medical personnel. A case of second trimester complicated with tubal torsion necrosis admitted to the First Hospital of Lanzhou University is reported as follows. By reviewing the literature, we can deepen the understanding of the disease and improve the ability of diagnosis and treatment.

Key words: Fallopian tube diseases, Torsion abnormality, Pregnancy trimester, second, Diagnosis, Therapy