Isolated torsion of fallopian tubes is a rare cause of acute abdomen. It is a diagnosis that is often reached after much delay. This is primarily because it has no pathognomonic clinical, radiological or laboratory signs. In such cases, it is advisable to have a low threshold for diagnostic laparoscopy. We managed a middle-aged lady with acute abdomen and after initial tests were inconclusive, we proceeded to diagnostic laparoscopy without much delay and found a twisted right hydrosalpinx. We performed a right salpingectomy as her family was complete. The fallopian tube and ovary usually act as a unit and an isolated torsion of the fallopian tube is a rare occurrence with few tell-tale sign. After cross sectional imaging, we can be fairly certain of an adnexal pathology. A delay in making a diagnosis can lead to catastrophic consequences in such conditions. An early laparoscopy can be both diagnostic and therapeutic in these cases.
Introduction: Urogenital infections are common causes of premature rupture of membranes (prom). The
present study was aimed at correlating the colonization of the organisms and possible infections in the
vagina and urinary tract of mothers presenting with premature rupture of membranes. 96 high vag Materials And Methods: inal
swabs and urine of patients with premature rupture of membranes were subjected to bacteriological studies according to the
recommended procedures. Out of 56 and 40 cases of PROM and PPROM, 25% and 32.5% had vaginal infect Results: ion
respectively (Table 1) & 16.1%and 27.5% showed urinary tract infection respectively (Table 2). The most common organism
isolated from high vaginal swab culture was Candida followed by Enterococcus and E.Coli. The most common organism
isolated from urine culture was E.Coli, followed by Enterococcus in both PROM and PPROM cases. Uroge Conclusion: nital
infections constitute major risk factors for premature rupture of membrane
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