Significant elevation in serum CA 125 and CA 19-9 levels with torsion of the hydrosalpinx in a postmenopausal woman.
10.5468/ogs.2017.60.4.387
- Author:
Ji Hye KIM
1
;
Hyo Jin JUNG
;
Seung Hun SONG
Author Information
1. Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
CA 125 antigen;
CA 19-9 antigen;
Fallopian tubes;
Isolated tubal torsion
- MeSH:
Adenomyosis;
CA-125 Antigen;
CA-19-9 Antigen;
Fallopian Tubes;
Female;
Humans;
Hysterectomy;
Middle Aged;
Salpingectomy
- From:Obstetrics & Gynecology Science
2017;60(4):387-390
- CountryRepublic of Korea
- Language:English
-
Abstract:
Isolated torsion of the fallopian tube in postmenopausal women is rare. In this case report, we detail the case of a 53-year-old patient who presented with adenomyosis and a left hydrosalpinx with high levels of CA 125 and CA 19-9. The isolated torsion of the left hydrosalpinx was observed during the operation. The serum levels of CA 125 and CA 19-9 were reduced from 129.62 and 348 to 58.2 and 12.41 U/mL, respectively, after total laparoscopic hysterectomy with salpingectomy. On radiologic evaluation, there were no other factors that may have influenced the increase in serum levels of CA 125 and CA 19-9 in this patient, which were reduced after operation. To the best of our knowledge, this is the first case of association between perioperative changes in CA 19-9 levels and isolated torsion of the fallopian tube.
