Isolated fallopian tube torsion in pediatric age: An Italian multicenter retrospective study

Bertozzi, Mirko; Noviello, C.; Molinaro, Francesco; Ratta, Alberto; Lisi, Gabriele; Cobellis, Giovanni; Federici, Silvana; Chiesa, Pierluigi Lelli; Martino, Ascanio; Messina, Mario

doi:10.1016/j.jpedsurg.2019.04.032

Cited by 26 publications

(28 citation statements)

References 16 publications

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“…If, during exploratory laparoscopy, IFTT is confirmed, the surgeon should opt for conservative management or perform salpingectomy according to macroscopic characteristics, possibility of detorsion and signs of revascularization, in accordance with the algorithm proposed in a multicenter study [4]. In our patient's case, we were unable to perform conservative management, given that detorsion of the left fallopian tube was impossible; we had to perform a salpingectomy to resolve the clinical symptoms.…”

Section: Discussionmentioning

confidence: 96%

“…IFTT is a rare finding in pediatric patients, marked by its rotation on its own axis without involving the ipsilateral ovary. Bertozzi et al [4] reported just 20 cases in 26 years at five pediatric surgery units. In the same way, it is a rare cause of abdominal pain in this age group and is exceptional in premenarchal girls [2].…”

Section: Discussionmentioning

confidence: 99%

“…However, surgical exploration is the only way to confirm the clinical suspicion of IFTT. Exploratory laparoscopy is used as an initial surgical and diagnostic option in the vast majority of cases [4,7].…”

Section: Discussionmentioning

confidence: 99%

“…Risk factors associated with IFTT include endometriosis, adhesion-related disorder, and tubal pathology, such as hydrosalpinx, hematosalpinx, neoplasm, or congenital malformation [ 3 ], with hydrosalpinx being the most frequent cause [ 4 ]. Some studies suggest that some sports that involve sudden body movements could precipitate torsion of the fallopian tube [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

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Isolated fallopian tube torsion associated with hydrosalpinx in a 12-year-old girl: a case report

Martín-Vallejo¹,

Garrigós-Llabata²,

Molina-Bellido³

et al. 2020

J Med Case Reports

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Background Isolated fallopian tube torsion associated with hydrosalpinx is a rare condition in the pediatric population. We present this unusual clinical case study in a sexually inactive girl. Case presentation a12-year-old Caucasian girl presented symptoms of acute abdominal pain. Pelvic ultrasound revealed a normal looking uterus and ovaries and next to left ovary a imaging compatible with hydrosalpinx. She was discharged 48 hours later after clinical monitoring with oral analgesia and normal blood workup. At 3 weeks, she was readmitted for acute abdominal pain. Leukocytosis with left shift and raised C-reactive protein were observed. Her clinical condition worsened, and complication of the preexisting hydrosalpinx was suspected. Exploratory laparoscopy confirmed torsion of the fallopian tube. Left salpingectomy was performed. Histopathologic study confirmed a fallopian tube with hemorrhagic infarct. Conclusion Torsion of the fallopian tube must be considered in the event of acute abdominal pain. Early diagnosis and trying conservative management with a view to preserving fertility in this group of patients are essential.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Isolated fallopian tube torsion associated with hydrosalpinx in a 12-year-old girl: a case report

Martín-Vallejo¹,

Garrigós-Llabata²,

Molina-Bellido³

et al. 2020

J Med Case Reports

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“…In the literature, it is usually presented as case reports. In recent years, there are publications in the form of case series [5][6][7] . Tubal torsion more frequently arises on the right side.…”

Section: Discussionmentioning

confidence: 99%

A Fifteen Year Analysis of Rare Isolated Fallopian Tube Torsions in Adolescent Children: A Case Series

Güney

Coşkun

2019

Preprint

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Isolated fallopian tube torsions presenting to the emergency department are a very rare cause of childhood acute abdominal pain. Since the diagnosis to be made in the early period is of importance in terms of affecting tubal damage and fertility, it was aimed to evaluate the cases in the light of literature. Materials and Methods: This study included 10 patients under 18 years of age presented to the emergency department with abdominal pain between January 2003 and December 2018. The mean age was 14.5±1.43 years (range: 12-17years). The demographic characteristics, surgical findings, and methods, concomitant pathology results of these patients were retrospectively evaluated. Results: The reason for admitting to the emergency department of 10 patients included in the study was abdominal pain. The mean duration of hospital admission with pain was 4.97 days. The onset of pain was less than 24 hours in 7 patients (70%) and was more than 24 hours in three patients (30%). Of the patients, 9 (90%) had tenderness in the lower abdominal quadrant, 5 (5%) had the defense, and 3 (30%) had a rebound. Nausea, vomiting, and leucocytosis were present in 50% of the cases. Right and left tubal involvement of the cases was equal. Seven (70%) of the isolated tubal torsions were accompanied by paraovarian cysts. Of the patients, 8 (80%) underwent open surgery and 2 (20%) underwent laparoscopic intervention. Detorsion was performed in 5 (50%) and salpingectomy was performed in 5 (50%) cases. Conclusion: Isolated tubal torsion should be considered in children presenting with acute abdominal pain in early adolescence. Early diagnosis is important for the maintenance of fertility.

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The “Double Ovary” Sign

Bonde

Foster

2023

J of Ultrasound Medicine

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Isolated fallopian tube torsion (IFTT) is a rare subset of adnexal torsion. Timely diagnosis of IFTT is essential for preservation of the fallopian tube. However, a pre‐operative diagnosis is challenging due to nonspecific symptoms and findings on physical exam. In addition, ultrasound (US) is typically the initial imaging modality in this setting and adnexal torsion may not be considered when normal ovaries are seen. In this small case series, we introduce the “double ovary” sign, a unique observation on US characterized by two adjacent structures: the ovary and the twisted fallopian tube giving rise to an ovary‐like, cystic structure. We present three cases in which IFTT was diagnosed preoperatively.

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Isolated fallopian tube torsion in pediatric age: An Italian multicenter retrospective study

Cited by 26 publications

References 16 publications

Isolated fallopian tube torsion associated with hydrosalpinx in a 12-year-old girl: a case report

Isolated fallopian tube torsion associated with hydrosalpinx in a 12-year-old girl: a case report

A Fifteen Year Analysis of Rare Isolated Fallopian Tube Torsions in Adolescent Children: A Case Series

The “Double Ovary” Sign

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