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Srpski arhiv za celokupno lekarstvo
2015, vol. 143, br. 7-8, str. 471-475
jezik rada: engleski
vrsta rada: prikaz slučaja
doi:10.2298/SARH1508471J
Izolovana torzija jajovoda - izazov za pravovremenu dijagnozu i lečenje
aMedical Faculty, Novi Sad + Pediatric Surgery Department, Institute for Children and Adolescents Health Care of Vojvodina, Novi Sad
bMedical Faculty, Novi Sad + Radiology Department, Institute for Children and Adolescents Health Care of Vojvodina, Novi Sad
cPathology Department, University of Novi Sad, Medical Faculty, Novi Sad
dPediatric Surgery Department, Institute for Children and Adolescents Health Care of Vojvodina, Novi Sad

e-adresa: jolo221177@gmail.com

Sažetak

Uvod Izolovana torzija jajovoda je redak uzrok akutnog bola u donjem abdomenu i retka indikacija za hirurško lečenje. Prikaz bolesnika Šesnaestogodišnja devojčica upućena je u bolnicu zbog višemesečnih nespecifičnih simptoma i akutizacije bola u desnoj infraumbilikalnoj regiji koji je trajao dva dana. Nalazi celokupnih laboratorijskih analiza bili su normalni. Ultrazvučni pregled pokazao je okruglastu masu (23×14 mm) u desnom jajovodu sa kolor dopler znakom vira, normalan jajnik i prostu paratubarnu cistu (50×40 mm). Laparoskopija je pokazala dilatiran i dva puta torkviran desni jajovod, kao i znake hroničnog apendicitisa. Jajovod je bio uvijen oko svoje longitudinalne ose, lividan, ali ne i gangrenozan. Nakon apendektomije jajovod je detorkviran, cista ekstirpirana, a jajovod saču- van. Posle operacije je, prema antibiogramu, primenjena antibiotska terapija. Nalazi postoperacionih kontrolnih pregleda u naredna četiri meseca bili su normalni. Zaključak Budući da nema patognomoničnih simptoma, kliničkih ili laboratorijskih nalaza, dijagnoza ovog stanja predstavlja izazov. Poznavanje znaka vira na kolor dopleru može omogućiti postavljanje rane dijagnoze i pravovremeno lečenje izolovane torzije jajovoda. Međutim, dijagnoza se retko postavlja pre operacije. Za razliku od prikazanog slučaja, hirurško lečenje se često vrši prekasno, a zakasnela intervencija može dovesti do nemogućnosti da se jajovod sačuva.

Ključne reči

Reference

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