Isolated torsion of bilateral fallopian tubes combined with tubal endometriosis: A case report

Lim, Seung-Taik; Park, Joon Cheol; Bae, Jin‐Young; Kim, Jong In; Rhee, Jeong Ho

doi:10.5468/kjog.2012.55.1.55

Cited by 2 publications

(6 citation statements)

References 8 publications

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“…A total of 13 studies were finally considered eligible for inclusion [ 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ]. Among them, four were observational, which included a total of 633 patients and mainly focused on the prevalence of tubal EM among patients with various gynecological diseases, as well as on disease-related characteristics and histopathology [ 16 , 17 , 18 , 19 ], while two studies focused on analyzing the genetic profile of patients with tubal EM [ 20 , 21 ].…”

Section: Resultsmentioning

confidence: 99%

“…Among them, four were observational, which included a total of 633 patients and mainly focused on the prevalence of tubal EM among patients with various gynecological diseases, as well as on disease-related characteristics and histopathology [ 16 , 17 , 18 , 19 ], while two studies focused on analyzing the genetic profile of patients with tubal EM [ 20 , 21 ]. The remaining seven studies were case reports [ 22 , 23 , 24 , 25 , 26 , 27 , 28 ]. The main patient and disease characteristics of the included observational studies are shown in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

“…The literature search revealed a total of 7 case reports during the study period [ 22 , 23 , 24 , 25 , 26 , 27 , 28 ]. Table 2 depicts the main patients’ and disease-related characteristics from case reports.…”

Section: Resultsmentioning

confidence: 99%

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Tubal Endometriosis: From Bench to Bedside, A Scoping Review

Prodromidou

Kathopoulis

Zacharakis

et al. 2022

JPM

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Tubal endometriosis (EM) refers to the detection of ectopic endometrial implants on tubes. It may cause a significant defect of the tubes, translating into dysmenorrhea, pelvic pain, and infertility. We aimed to evaluate the disease characteristics, prevalence, histopathological findings and genetic profile of patients with tubal EM. A thorough search of three electronic databases was performed for studies that presented outcomes of patients with tubal EM. Thirteen studies (four observational, seven case reports, two genetic) were considered eligible for inclusion. The prevalence of tubal EM ranged from 6.9% to 69%. The predominant symptoms for referral of patients were infertility and abdominal pain. Women of reproductive age underwent salpingectomy for the management of the disease. Only one case of malignant transformation was recorded in a 60-year-old patient. The prevalence of tubal EM ranges depending on the indication for surgery, the presence of concomitant pelvic EM and the type of diagnosis and treatment. Further, more extensive, larger studies are warranted to evaluate the impact of tubal EM in the progression and prognosis of EM, the effect of salpingectomy in the improvement of disease-related symptoms and to designate the group of patients that could benefit from risk-reducing salpingectomy based on the risk of developing ovarian malignancy.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Tubal Endometriosis: From Bench to Bedside, A Scoping Review

Prodromidou

Kathopoulis

Zacharakis

et al. 2022

JPM

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“…In addition, defense and rebound can be detected on the torsion side. However, none of these are specific properties [ 4 , 9 , 11 , 12 ]. Preoperative diagnosis of isolated fallopian tube torsion is difficult due to symptoms and physical examination findings not being pathognomonic and lack of specific imaging and laboratory features.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the correct diagnosis is often made during surgical intervention. Regarding the difficulty in making a preoperative diagnosis, Lo et al reported that none of 17 patients with isolated fallopian tube torsion were diagnosed preoperatively [ 9 , 12 – 14 ]. Because most patients with isolated fallopian tube torsion describe lower abdominal and lateral pain, the differential diagnosis should include acute appendicitis, ovarian cyst rupture or torsion, ectopic pregnancy, pelvic inflammatory disease, endometriosis, leiomyoma degeneration, intestinal obstruction or perforation, and renal colic [ 11 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

Bilateral torsion of fallopian tubes with bilateral hydrosalpinx: a case report

Kartal

Birge

2020

J Med Case Reports

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Background Isolated fallopian tube torsion is a very rare cause of acute abdominal pain in women and, as can be expected, its being bilateral is an extremely rare condition. It is more common in women in reproductive age compared to other age groups. Symptoms, physical examination, imaging and laboratory findings being nonspecific makes it difficult to establish the correct diagnosis and often the diagnosis can be made during surgery. Despite being a very rare condition in general, it is important in terms of preservation of tube and thus the fertility especially in women of reproductive age with early diagnosis and treatment. Therefore, keeping in mind the fallopian tube torsion among the differential diagnoses in women presenting with acute abdominal pain will contribute to early diagnosis and treatment. Case presentation A 38-year-old white Arabian woman, gravida 1, parity 0, abort 1, sought medical advice in our outpatient clinic with a complaint of lower abdominal pain that had started 2 days earlier. The pain had first started as mild cramps, which then suddenly intensified nearly 2 hours before her presentation to our clinic, spread to the groin and femur, more prominent on the right side, and became an ongoing pain. As preoperative diagnoses of the patient, ovarian cyst rupture and ectopic pregnancy were suspected, and fallopian tube torsion was also suspected due to the normal appearance of the ovaries and the appearance of the hydrosalpinx on ultrasonography. The patient underwent laparotomy with a Pfannenstiel incision. Both tubes had hydrosalpinx, and the fimbrial ends were blunt and obliterated. Bilateral salpingectomy was performed because the right tube had a prominent necrotic appearance, and there was a significant hydrosalpinx in both tubes. Conclusion Bilateral fallopian tube torsion should be considered among the differential diagnoses in women presenting with acute pelvic pain.

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Isolated torsion of bilateral fallopian tubes combined with tubal endometriosis: A case report

Cited by 2 publications

References 8 publications

Tubal Endometriosis: From Bench to Bedside, A Scoping Review

Tubal Endometriosis: From Bench to Bedside, A Scoping Review

Bilateral torsion of fallopian tubes with bilateral hydrosalpinx: a case report

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