Adnexal torsion-symptoms, diagnosis and management: a review of literature

Jain, Nidhi; Manchanda, Rahul; Chithra, Sravani; Lekhi, Anshika

doi:10.18203/2320-1770.ijrcog20161276

Cited by 5 publications

(6 citation statements)

References 24 publications

(29 reference statements)

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“…Laparoscopy is the gold standard in the diagnosis and management. [ 4 ] Early surgical intervention is essential to salvage the tube before the stage of necrosis occurs, for which only salpingectomy is the solution.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic salpingectomy for an isolated case of left fallopian tube torsion in a premenarcheal 13 years old

Vadukkut

Mangeshikar

Jadhav

et al. 2020

Gynecol Minim Invasive Ther

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Isolated torsion of the fallopian tube without an ovarian abnormality is an uncommon clinical finding even rarer before menarche and postmenopause, with an incidence of approximately 1 in 1.5 million women. Left fallopian tube torsion is infrequent as compared to right. Here, we report a rare case of a prepubertal girl who presented with acute left abdominal pain. Ultrasound suggested normal ovaries, and a significant left hydrosalpinx and color-Doppler was done, which confirmed signs of left-sided fallopian tube torsion. On laparoscopy, her left fallopian tube was twisted around its axis five times with the signs of necrosis, a laparoscopic salpingectomy was performed. Laparoscopy is the gold standard for the diagnosis and management of this condition. A high index of suspicion is necessary to make an early diagnosis allowing conservative surgical management and hence fertility preservation.

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Section: Introductionmentioning

confidence: 99%

Laparoscopic salpingectomy for an isolated case of left fallopian tube torsion in a premenarcheal 13 years old

Vadukkut

Mangeshikar

Jadhav

et al. 2020

Gynecol Minim Invasive Ther

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“…Clinical history usually includes acute-onset severe pelvic pain [ 1 , 2 ]. This is often severe and unilateral, and in up to 85% is accompanied by nausea and vomiting [ 1 , 2 , 6 ]. However, many patients present with milder, non-specific pelvic pain [ 1 , 2 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

Recurrent ovarian and fallopian tube torsion: A case report

Ellison,

Sinclair,

Sana

2024

Case Reports in Women's Health

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“…Therefore, Laparoscopic detorsion and cystectomy is the gold standard management. [ 9 ] Its use can assist patients by preventing unnecessary surgery and therapy delays, shorter operation and hospital stay, as well as a less invasive intervention that reduces future adhesions and improve fertility. [ 4 5 ]…”

Section: Discussionmentioning

confidence: 99%

Fallopian tube autoamputation after acute large endometrioma torsion

Atileh

Khalifeh

2022

Gynecol Minim Invasive Ther

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Adnexal torsion is the fifth most common gynecological emergency. However, endometrioma torsion is a very rare entity due to the associated pelvic adhesions. A 26-year-old woman presented to the emergency department complaining of acute lower abdominal pain for the past 6 h. Physical examination showed localized left iliac fossa tenderness. Ultrasound showed a 13 cm endometrioma with a normal color Doppler. Laparoscopy revealed a 13 cm large endometrioma arising from the left ovary. The left Fallopian tube was amputated at its attachment to the left cornua. Reconstruction of the ovary was done and the specimen was retrieved through the umbilicus inside a bag. Autoamputation of the Fallopian tube alone, although very rare, is typically associated with a preceding torsion. It is critical to be aware of adnexal torsion, as it can have implications for future fertility. Therefore, laparoscopic detorsion and cystectomy are the gold standard management.

show abstract

Adnexal torsion-symptoms, diagnosis and management: a review of literature

Cited by 5 publications

References 24 publications

Laparoscopic salpingectomy for an isolated case of left fallopian tube torsion in a premenarcheal 13 years old

Laparoscopic salpingectomy for an isolated case of left fallopian tube torsion in a premenarcheal 13 years old

Recurrent ovarian and fallopian tube torsion: A case report

Fallopian tube autoamputation after acute large endometrioma torsion

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