DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20194896

A rare case of isolated fallopian tube torsion

Namrita Sandhu, Sanjay Singh

Abstract


Isolated torsion of fallopian tube is a rare occurrence. Diagnostic difficulty gets compounded in adolescents because the most commonly used imaging study in young, usually sexually inactive, population is transabdominal ultrasonography which may show normal ovaries, leading clinicians to abandon a diagnosis of adnexal torsion. Other imaging modalities such as CT scan or MRI are less useful for a rapid diagnosis because of the risk of radiation exposure, cost, or lack of ready availability. Delays in diagnosis may increase the likelihood of necrosis of the fallopian tube which would result in salpingectomy as was the case in our case report. Here authors present one such case, wherein one 12 year old girl who attained menarche at 10 years of age presented with acute paraumblical pain and vomiting without any fever, bowel and bladder disturbances. On examination there was tenderness in right iliac fossa. Her USG report was unremarkable. She initially was put-on broad-spectrum antibiotics but without any amelioration of symptoms. Diagnosed as appendicitis by surgeon, she was taken up for laparoscopic appendicectomy. However, it turned out to be a case of fallopian tube torsion, wherein the tube had become gangrenous for which salpingectomy was done.


Keywords


Appendicitis, Fallopian tube, Laparoscopic resection, Pain abdomen, Torsion

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References


Valenzano M, Ferrera PC, Kass LE, Verdile VP. Torsion of the fallopian tube. Am J Emerg Med. 1995;13:312-4.

Raziel A, Mordechai E, Friedler S, Schachter M, Pansky M, Ron-El R. Isolated recurrent torsion of the Fallopian tube: case report. Hum Reprod. 1999;14:3000-1.

Mueller C, Tomita S. Fallopian tube torsion as a cause of acute pelvic pain in adolescent females. Case Rep Pediatr. 2016;2016:8707386.

Lo LM, Chang SD, Lee CL, Liang CC. Clinical manifestations in women with isolated fallopian tubal torsion; a rare but important entity. Aust N Z J Obstet Gynaecol. 2011;51:244-7.

Cuillier F, Harper I, Birsan A. Fallopian tube torsion: five cases with no other element. J Gynecol Obstet Biol Reprod. 2002;31:755-64.

Provost MW. Torsion of the normal fallopian tube. Obstet Gynecol. 1972;39:80-2.

Pansky M, Smorgick N, Lotan G, Herman A, Schneider D, Halperin R. Adnexal torsion involving hydatids of Morgagni: a rare cause of acute abdominal pain in adolescents. Obstet Gynecol. 2006;108:100-2.

Casey RK, Damle LF, Gomez-Lobo V. Isolated fallopian tube torsion in pediatric and adolescent females: a retrospective review of 15 cases at a single institution. J Ped Adol Gynecol. 2013;26:189-92.