Torsion of the left fallopian tube without ovarian involvement in a 47-year-old woman: A case report

Ziogas, Apostolos C; Thanasas, Ioannis; Oikonomou, I.T.; Tsiamanta, C.

doi:10.1016/j.crwh.2020.e00179

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…Other symptoms may include nausea, vomiting or urinary urgency. 5 Most patients have normal vital signs and mild fever may be present. On physical examination, there was tenderness at the lesion site and not peritoneal sign.…”

Section: Discussionmentioning

confidence: 99%

Isolated fallopian tubal torsion with underdiagnosed entity: a case report

Park

Yun

Chung

2022

Int J Reprod Contracept Obstet Gynecol

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Isolated fallopian tubal torsion refers to twisting only the tube without involving the ipsilateral ovary. This is a rare type of adenexal torsion and is a gynecological emergency. Since this disease mostly occurs in women of childbearing age, accurate diagnosis and appropriate treatment are more important issues. It is known that ovarian cyst torsion occurs well in sizes greater than 5 cm, but the epidemiology of isolated fallopian tubal torsion is unknown. Even clinically, in patients complaining of abdominal discomfort, a small andexal cyst is difficult to consider as a cause of pain. We presented an isolated fallopian tubal torsion case that can be twisted despite its small size.

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Section: Discussionmentioning

confidence: 99%

Isolated fallopian tubal torsion with underdiagnosed entity: a case report

Park

Yun

Chung

2022

Int J Reprod Contracept Obstet Gynecol

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“…The latter category includes conditions affecting the neighbouring organs, venous congestion and medication. 5 Isolated fallopian tube torsion can present without any obvious pathognomonic symptoms and clinical or radiological signs. The most common symptom is lower abdominal pain, most frequently of sudden onset and accompanied by nausea, vomiting or urinary urgency; fever may be a marker of adnexal necrosis, particularly in the setting of leukocytosis.…”

Section: Discussionmentioning

confidence: 99%

Isolated fallopian tube torsion in an adolescent: a diagnostic challenge

Bivar

Castro

Teixeira

2020

Int J Reprod Contracept Obstet Gynecol

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Torsion of the fallopian tube without ovarian involvement is an extremely rare event and often difficult to diagnose, but noteworthy, cause of lower abdominal pain. The authors describe a case related to a 14- year-old adolescent with acute lower abdominal pain and vomiting presented to the gynaecological emergency department. Blood tests exhibited modest biochemical parameters of inflammation and a transvaginal ultrasound showed a left adnexal tubular cystic mass with normal ovarian appearance. A diagnostic laparoscopy revealed an isolated fallopian tube torsion. The tube was able to be untwisted with restoration of pelvic anatomy and the follow-up was uneventful. The authors describe a challenging diagnosis in an adolescent in which delayed intervention could compromise her reproductive future. Tubal torsion should however be kept in mind in the differential diagnosis of lower abdominal pain in women of all ages.

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Torsion of the left fallopian tube without ovarian involvement in a 47-year-old woman: A case report

Cited by 2 publications

References 9 publications

Isolated fallopian tubal torsion with underdiagnosed entity: a case report

Isolated fallopian tubal torsion with underdiagnosed entity: a case report

Isolated fallopian tube torsion in an adolescent: a diagnostic challenge

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