Published: 2018-02-27

Diagnostic laparoscopy in isolated torison of hydrosalpinx: a likely cure for an unlikely disorder

Manu Priya, Modhusmita Chetia, Asha Sharma, Mona Verma


Isolated torsion of fallopian tubes is a rare cause of acute abdomen. It is a diagnosis that is often reached after much delay. This is primarily because it has no pathognomonic clinical, radiological or laboratory signs. In such cases, it is advisable to have a low threshold for diagnostic laparoscopy. We managed a middle-aged lady with acute abdomen and after initial tests were inconclusive, we proceeded to diagnostic laparoscopy without much delay and found a twisted right hydrosalpinx. We performed a right salpingectomy as her family was complete. The fallopian tube and ovary usually act as a unit and an isolated torsion of the fallopian tube is a rare occurrence with few tell-tale sign. After cross sectional imaging, we can be fairly certain of an adnexal pathology. A delay in making a diagnosis can lead to catastrophic consequences in such conditions. An early laparoscopy can be both diagnostic and therapeutic in these cases.


Adnexa, Fallopian tube, Hydrosalpinx, Laparoscopy, Ovary, Torsion

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Augustin G. (Isolated) Torsion of the fallopian tube in acute abdomen during pregnancy. Springer International Publishing; 2014:461-464.

Toyoshima M, Mori H, Kudo K, Yodogawa Y, Sato K, Kudo T, et al. Isolated torsion of the fallopian tube in a menopausal woman and a pre-pubertal girl: two case reports. J Med Case Rep. 2015;9(1):1.

Dey M, Kumar R. Isolated torsion of hydrosalpinx. Med J Armed Forces India. 2013;69(2):178.

Kardakis S, Barranca A, Vitelli A, Amore I, Trento F, Caccia G. Isolated fallopian tube torsion. Case Rep Obstet Gynecol. 2013;2013.

Hansen OH. Isolated torsion of the fallopian tube. Acta Obstetricia et Gynecologica Scandinavica. 1970;49(1):3-6.

Bernardus RE, Van der Slikke JW, Roex AM, Dijkhuizen GH, Stolk JG. Torsion of the fallopian tube: some considerations on its etiology. Obstet Gynecol. 1984;64(5):675-8.

Rajaram S, Bhaskaran S, Mehta S. Isolated Fallopian tube torsion in adolescents. Case Rep Obstet Gynecol. 2013;2013.

Bland-Sutton T. Salpingitis and some of its effects. Lancet. 1890;2:146-8.

Jain, Nidhi. Adnexal torsion-symptoms, diagnosis and management: a review of literature. IJRCOG. 2017;5(5):1276-84.

Thakral, Anuj. MRI diagnosis of tubal torsion: the whirlpool sign. IJRCOG. 2016;5(1):237-9.