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

Five Year Retrospective Case Series of Adnexal Torsion

“…Isolated tubal torsion associated with hydrosalpinx were seen in 69% of cases and salpingectomy was performed in 11/13 cases in a study [22].We had 5 isolated tubal torsions and the risk factors seen were paraovarian cyst and hydrosalpinx. All five underwent lap salpingectomy as the tubes were non-viable [Table/ Fig-7].…”

Pediatric ovarian torsion: a pictorial review

“…Fallopian tube torsion associated with hydrosalpinx has been reported in approximately 9% of adnexal torsions and can be difficult to differentiate from uncomplicated hydrosalpinx by US if normal color flow is present [33]. In sexually inactive girls, hydrosalpinx may be related to an underlying congenital anomaly or a prior asymptomatic inflammatory process in childhood [33].…”

“…In sexually inactive girls, hydrosalpinx may be related to an underlying congenital anomaly or a prior asymptomatic inflammatory process in childhood [33]. Additional findings such as a thickened, echogenic wall and the presence of internal debris or hemorrhage [32] can make it difficult to differentiate fallopian tube torsion from hydro/pyosalpinx related to pelvic inflammatory disease on the basis of imaging alone.…”

Hydrosalpinx in Postmenarchal Nonsexually Active Girls: A Review of 6 Cases in a Children's Hospital

“…The importance lies in the need for early detection so that conservative management might be undertaken. 6 We describe our experience with six cases of hydrosalpinx in postmenarchal nonsexually active girls to help raise awareness of this differential diagnosis in the evaluation of acute and chronic pelvic pain and to identify plausible explanations for hydrosalpinx in this population of nonsexually active adolescents. A review of related literature is included.…”