Isolated fallopian tubal torsion with underdiagnosed entity: a case report

Seon Hee Park; Jisun Yun; Eun Chung

doi:10.18203/2320-1770.ijrcog20220196

Authors

Seon Hee Park Department of Obstetrics and Gynecology, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea
Jisun Yun Department of Obstetrics and Gynecology, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea
Eun Chung Department of Obstetrics and Gynecology, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea http://orcid.org/0000-0003-0146-6286

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20220196

Keywords:

Tubal torsion, Fallopian torsion, Adnexal torsion, Acute abdomen

Abstract

Isolated fallopian tubal torsion refers to twisting only the tube without involving the ipsilateral ovary. This is a rare type of adenexal torsion and is a gynecological emergency. Since this disease mostly occurs in women of childbearing age, accurate diagnosis and appropriate treatment are more important issues. It is known that ovarian cyst torsion occurs well in sizes greater than 5 cm, but the epidemiology of isolated fallopian tubal torsion is unknown. Even clinically, in patients complaining of abdominal discomfort, a small andexal cyst is difficult to consider as a cause of pain. We presented an isolated fallopian tubal torsion case that can be twisted despite its small size.

Metrics

Metrics Loading ...

Author Biographies

Seon Hee Park, Department of Obstetrics and Gynecology, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea

Department of Obstetrics and Gynecology, National Health Insurance Service Ilsan Hospital, Goyang, 100 Ilsan-ro, Ilsandong-gu, Goyang, 10444

Jisun Yun, Department of Obstetrics and Gynecology, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea

Department of Obstetrics and Gynecology, National Health Insurance Service Ilsan Hospital, Goyang, 100 Ilsan-ro, Ilsandong-gu, Goyang, 10444

Eun Chung, Department of Obstetrics and Gynecology, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea

Department of Obstetrics and Gynecology, National Health Insurance Service Ilsan Hospital, Goyang, 100 Ilsan-ro, Ilsandong-gu, Goyang, 10444

References

Hagege R, Sharvit M, Hamou B, Barzilay E, Pansky M, Barel O. Isolated fallopian tube torsion: an underdiagnosed entity with debatable management. J Minim Invasive Gynecol. 2022;29(10:158-63.

Qian L, Wang X, Li D, Li S, Ding J. Isolated fallopian tube torsion with paraovarian cysts: a case report and literature review. BMC Women Health. 2021;21(1):345.

Elçi E, Sayan S, Elçi G, Koç G. Isolated fallopian tubal torsion: Reproductive age case series. J Obstet Gynaecol Res. 2021;47(7):2515-20.

Krissi H, Shalev J, Bar-Hava I, Langer R, Herman A, Kaplan B. Fallopian tube torsion: laparoscopic evaluation and treatment of a rare gynecological entity. J Am Board Fam Pract. 2001;14(4):274-7.

Ziogas AC, Thanasas IK, Oikonomou IT, Tsiamanta C. Torsion of the left fallopian tube without ovarian involvement in a 47-year-old woman: a case report. Case Rep Women Health. 2020;26:00179.

Lourenco AP, Swenson D, Tubbs RJ, Lazarus E. Ovarian and tubal torsion: imaging findings on US, CT, and MRI. Emerg Radiol. 2014;21(2):179-87.

Bora SA, Kanapathippillai R, Backos M. Isolated fallopian tube torsion: an unusual cause of acute abdominal pain. BMJ Case Rep. 2011;2011:0520114183.

Sakuragi M, Kido A, Himoto Y, Onishi Y, Togashi K. MRI findings of isolated tubal torsions: case series of 12 patients: MRI findings suggesting isolated tubal torsions, correlating with surgical findings. Clin Imaging. 2017;41:28-32.