Isolated torsion of the fallopian tube with hydrosalpinx mimicking a multiloculated ovarian cyst: Whirlpool sign on preoperative sonography and MRI

Aydin, Recep; Bildircin, Devran; Polat, Ahmet Veysel

doi:10.1002/jcu.22030

Cited by 18 publications

(11 citation statements)

References 10 publications

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“…While MRI whirlpool sign has been described for ovarian torsion in Indian literature, this is probably the first description of MRI whirlpool sign being employed (in the Indian subcontinent) for diagnosis of tubal torsion. 14,15 This case reinforces the fact that in presence of whirlpool sign with normal appearing ovaries, there is a high index of radiological suspicion for tubal torsion which by itself is a rare entity.…”

Section: Case Reportsupporting

confidence: 69%

MRI diagnosis of tubal torsion: the whirlpool sign

Thakral

Malhotra

Sobti

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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Section: Case Reportsupporting

confidence: 69%

MRI diagnosis of tubal torsion: the whirlpool sign

Thakral

Malhotra

Sobti

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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“…If USG is indeterminate, Contrast-enhanced MRI may be useful, to identify (1) the twisted vascular pedicle, (2) uterine deviation to the twisted side (3) thickened and enhanced Fallopian tube, (4) also particularly useful in young adolescents or pregnant women without ionizing radiation. [ 10 ] Color Doppler may be useful in diagnosing the IFTT, but normal flow definitely will not rule out the torsion. A whirlpool sign is known for its high sensitivity in diagnosing the IFTT,[ 9 11 ] which was not assessed in our study; hence, the diagnosis could be missed and none of the patients were identified as adnexal torsion by imaging modality in our series.…”

Section: Discussionmentioning

confidence: 99%

Isolated fallopian tube torsion: A rare twist with a diagnostic challenge that may compromise fertility

et al. 2020

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Isolated Fallopian tube torsion (IFTT) is a rare entity with utmost important gynecological emergency with difficult preoperative diagnosis. Our aim is to analyze the clinical presentation, risk factors, and management of IFTT. We retrospectively analyzed all patients with intraoperative diagnosis of IFTT in our endogynecological department over a time period of 3 years and 6 months (January 2015–June 2018) in a tertiary level laparoscopic center. The clinical profile of the patients was analyzed and the results formulated. Statistical analysis was done by SPSS system, Version 15.00 (SPSS Inc., Chicago). A total 17 cases were diagnosed with IFTT with or without pathology. The mean age was 28.07 ± 11.3 years. Lower abdominal pain was the most common symptom (88%). About 47% had a history of tubal ligation. Salpingectomy was done in the majority of the patients (82.3%). Detorsion and preservation of the tube was possible in 17.6% of the cases. High index of suspicion is needed to diagnose this rare cause of acute abdomen. Hence, an early intervention can enhance the salvageability of the affected tubes which has a positive impact on the fertility status of the patients. Tubal preservation is the preferred procedure of choice whenever feasible.

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“…MRI is reported to be much more useful for making this distinction; however, MRI is not always performed in an emergency scenario. 10 …”

Section: Discussionmentioning

confidence: 99%

Rare hydrosalpinx in a sexually inactive adolescent successfully treated with laparoscopy

Takeda

Miyatake

Tanaka

et al. 2017

Gynecology and Minimally Invasive Therapy

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The majority of cases of symptomatic hydrosalpinx needing treatment are caused by sexually transmitted diseases. However, here, we present a rare case of a hydrosalpinx occurring in a sexually-inactive adolescent girl successfully treated with laparoscopy. A 17-year-old girl presenting with lower abdominai symptoms had a surgical history for an inguinal hernia at infancy. Transabdominal ultrasonography revealed a multicystic lesion in the pelvis, and magnetic resonance imaging suggested hydrosalpinx. Due to the abdominal pain and a suspicion of torsion, laparoscopic surgery was performed. After aspiration and resection of a cystic tumor, we confirmed that the left ovary was normal and that the tumor involved the left fallopian tube, which was twisted at the isthmus. Although relatively rare in postmenarchal sexually inactive adolescents, clinicians and surgeons must still consider hydrosalpinx as a possible diagnosis when encountering an adolescent patient with lower abdominal pain.

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Isolated torsion of the fallopian tube with hydrosalpinx mimicking a multiloculated ovarian cyst: Whirlpool sign on preoperative sonography and MRI

Cited by 18 publications

References 10 publications

MRI diagnosis of tubal torsion: the whirlpool sign

MRI diagnosis of tubal torsion: the whirlpool sign

Isolated fallopian tube torsion: A rare twist with a diagnostic challenge that may compromise fertility

Rare hydrosalpinx in a sexually inactive adolescent successfully treated with laparoscopy

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