Partial tubal salvage through neosalpingostomy in a 12-year-old girl with combined ovarian and fallopian tube torsion

Cannot exclude torsion—a 15-year review

“…Ovarian volume can also influence the tendency for an ovary to torse because 83% of torsed ovaries in our study had US measurements of 5 cm or larger. Individual anatomy may play a role in those cases without a pathologic lead point because the length of the fallopian tube and suspensory ligaments can influence ovarian mobility and subsequent vascular compromise [6,14,15]. Our observed preferential sidedness of torsion on the right is in keeping with the expected 3:2 ratio and has been attributed to the relative mobility of the cecum allowing for more ovarian movement, in comparison to the fixation of the sigmoid colon [9,13,16,17].…”

Thirteen cases of isolated tubal torsions associated with hydrosalpinx in children and adolescents, proposal for conservative management: retrospective review and literature survey

“…A histopathologic reexamination was performed by a single surgical pathologist for a more precise assessment of the tubal condition, a confirmation of the hydrosalpinx, and an evaluation of the persistence of intraluminal cilia. We then searched 2 electronic databases (Medline and Sciencedirect) and targeted reports published in English or French between 1999 and November 2009 using the key words tubal torsion and hydrosalpinx, and 20 articles were identified [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. In addition, references of the retrieved articles were hand searched to identify any articles missed during the initial search.…”

“…Three articles missed by the initial search and corresponding to our inclusion criteria were identified [21][22][23]. The cases occurring during pregnancy [1,4], in patients older than 18 years [2,6,10,15,16,24] and those with a medical history of pelvic surgery [5,12,14] or preexisting adnexal pathology such as endometriosis [11], as well as cases where a hydrosalpinx was not clearly identified [7,13,19,20] were excluded. A total of 7 case reports were included in our series after a review of the literature [8,9,17,18,[21][22][23].…”

Isolated Fallopian Tube Torsion in Children: Is Salpingectomy Necessary

“…In the presented study,50% of the patients were treated with detorsion and no recurrence has been observed during 6-month period of follow-up. Salpingoneostomy has been reported in premenarchal girls after detorsion of ITT as a second-look surgical procedure (7,27).After performing a salpingoscopic evaluation of the tube, an incision is made to create a new opening in the end of the occluded fallopian tube with a microsurgical needle electrode.…”