Torsion of the Fallopian Tube and the Haematosalpinx in Perimenopausal Women- A Case Report

Abstract

An isolated fallopian tube torsion is a rare, often difficult to diagnose, but significant cause of acute lower abdominal pain in women of the reproductive age group. It is rare in the perimenopausal age group. We are presenting a literature review and the case of a 47 years old woman who presented with a sudden onset of acute lower abdominal pain . Her clinical examination revealed an 8x8 cm, tender, cystic mass in the left lower quadrant, with positive cervical movement tenderness. MRI revealed a gross hydrosalpinx with a small left

Five Year Retrospective Case Series of Adnexal Torsion

“…It may be due to pelvic venous congestion at the time of ovulation or pre-menstrual phase that causes torsion [11].…”

MR Evaluation of Isolated Fallopian Tubal Torsion, Rare Cause of Lower Abdominal Pain in Perimenopausal Age – Report of Two Cases and Mini Review

“…Left sided tubal torsion usually goes unrecognized, resulting in further complications. The condition is uncommon before menarche and in perimenopausal women (6) , because most of the risk factors operate in the adolescents and ovulating women. Patients usually present with acute onset of lower abdominal and pelvic pain, which may be severe and intermittent or recurrent.…”

A rare case: isolated tubal torsion

“…and may spread to the leg or hip (11). Current findings may be accompanied by nausea, vomiting and peritoneal irritation findings (12). Although USG is not very helpful in differential diagnosis, it is reported that the presence of diastolic reverse flow and high impedance waveforms in the affected tuba is diagnostic in color Doppler USG examination (13).…”