IFTT in children and adolescents—single-center experience and systematic review of literature
Topic overview
This systematic review of isolated fallopian tube torsion in pediatric patients found that early diagnosis and laparoscopic intervention are critical for preserving reproductive potential. Analysis of 170 cases showed that symptom duration beyond 24 hours significantly increased salpingectomy rates, emphasizing the importance of prompt surgical exploration when IFTT is suspected in adolescent girls with acute abdominal pain.
Key takeaways
- IFTT is rarely diagnosed preoperatively (only 16.4% of cases), leading to delayed recognition in adolescent girls with acute abdominal pain.
- Symptom duration >24 hours significantly increases salpingectomy rate; early laparoscopy is critical to preserve reproductive potential.
- Organ-sparing detorsion is feasible in 33% of cases when blood supply is restored, challenging the default salpingectomy approach.
- Left fallopian tube is slightly more affected (53%), with pain present in 99% and nausea in 57% of pediatric IFTT cases.
- Emergency laparoscopy should be performed when IFTT is suspected to enable timely detorsion and address concomitant pathology.
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How to cite: GlobalCastMD. IFTT in children and adolescents—single-center experience and systematic review of literature. GlobalCastMD Medical Library. 2024-05-30. https://dev.library.globalcastmd.com/article/8674?via_space=staycurrentmd
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