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Grand Rounds
GYN #4 Management of Tubal Torsion: When to Consider Salpingectomy with Dr. Lesley Breech
With Dr. Lesley Breech · hosted by Dr. M. Gothi
Part of
Adnexal Torsion 3 items
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
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What the experts said
The cystic structure in this case is a paratubular or Wolffian duct remnant.
Paratubular or Wolffian duct remnant cysts create risk for twisting and typically happen at puberty.
It is really important to ensure complete resection of the entire cyst wall.
The fallopian tube is typically seen stretched across the cyst.
When doing this kind of resection, it is really important to trace the path of the fallopian tube.
It is not a problem to get into the mesosalpinx during resection, but protection of the fallopian tube path is critical.
Incomplete resection of the cyst will result in recurrence.
In managing adnexal torsion with a Wolffian duct remnant, the key steps are: accurately diagnose, promptly untwist the adnexa, carefully resect the cyst wall, and ensure the fallopian tube's integrity.