A rare case: isolated tubal torsion

Karaaslan, Onur; Yildirim, Dogukan; Şimşek, Erkan; Hacıoğlu, Latif

doi:10.5505/ejm.2020.71602

Cited by 4 publications

(3 citation statements)

References 11 publications

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“…Other tubes did show hydrosalpinx, but still, salpingectomy was performed on the left side also. Both ovaries being normal, they were preserved [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…If torsion is arrested before the onset of gangrenous changes, the tubes can be preserved in torsion cases. A study by Mazouni et al emphasized that more than 10 hours between the onset of pain and surgery increases the risk of tubal necrosis [ 9 , 11 ]. The diagnosis of isolated tubal torsion by ultrasound is quite challenging.…”

Section: Discussionmentioning

confidence: 99%

“…Late diagnosis leads to necrosis and irreversible damage. Fertility-preserving surgeries are recommended unless the tube is wholly necrosed [ 9 ]. Laparoscopy is the gold standard for establishing diagnosis and treatment [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Isolated Unilateral Hydrosalpinx Torsion in a Post-Tubal Ligation Patient: A Case Report and Review of Literature

Jajoo,

Naval

2024

Cureus

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Isolated tubal torsion of the hydrosalpinx is a rare occurrence with a varied clinical presentation, presenting a diagnostic challenge. We present a case involving the isolated torsion of the right hydrosalpinx in a 33-year patient with a history of bilateral tubal ligation who presented with an acute abdomen. Based on ultrasound and clinical findings, an initial diagnosis of ovarian torsion was considered. However, escalating pain severity led to diagnostic laparotomy, revealing torsion in the right hydrosalpinx. Subsequent right salpingectomy was done, and as the patient had undergone tubal ligation, preventive left salpingectomy was also performed. Both ovaries were preserved. The patient experienced an uneventful recovery. A literature review uncovered fewer than 50 reported cases of unilateral or bilateral isolated fallopian tube torsion post-tubal ligation. This case underscores the diagnostic challenges associated with isolated tubal torsion and emphasizes the crucial role of early surgical intervention in preventing morbidity and preserving ovaries.

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“…Other tubes did show hydrosalpinx, but still, salpingectomy was performed on the left side also. Both ovaries being normal, they were preserved [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%