Isolated torsion of the fallopian tube in a 16-year-old girl: A case report and review of the literature

Abstract

Torsion of the fallopian tube is when the tube twists on the axis created between the infundibulopelvic ligament and the utero-ovarian ligament. It most commonly presents with appendicitis-like symptoms, such as abdominal pain, nausea and vomiting. Because of its rarity and non-specific symptoms, it is usually misdiagnosed initially, which delays therapy, at the expense of the preservation of fertility. This case report of a 16-year-old girl who had never had sexual intercourse presents an example of the misdiagnosis of fallopian tube torsion. The definitive diagnosis was based on laparoscopy. We summarize our experience and provide our conclusions after reviewing the literature.

Isolated Torsion of the Fallopian Tube: a case report

“…It is important in immediate diagnosis and treatment to maintain the fallopian tube [8] . There are many case report about isolated tubal torsion, including Kolovos, Antoniu, Kardakis, Toyoshima, Gross, Raziel that are different from our case [3,7,[9][10][11] , because in this case, Isolated torsion of the left tube occurs without any abnormality and pathology. Therefore, a case of isolated torsion of the left fallopian tube associated without abnormality and pathology was present.…”

“…Incidence was 1/1.5 million [1][2] . The right tubal torsion is much more common than the left tubal torsion, which can be due to fixation of the left tube in the left hemipelvis by the sigmoid colon and mesentery [3] . It occurs without ovarian involvement.…”

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

“…It is primarily seen in adolescent and reproductive age women and is rarely encountered in the postmenopausal period. It is also seen less frequently in the pediatric age group than in women in the reproductive period [ 1 , 4 ]. Isolated fallopian tube torsion is more common in women of reproductive age than in other age groups, probably because risk factors for tubal torsion, such as ovarian cysts, infections, and pelvic surgery, occur more frequently in women in the reproductive age group [ 9 ].…”

“…Although normal vascular flow is observed in the ovaries, a lack of diastolic flow or an observation of diastolic reverse stream together with high-impedance arterial stream in Doppler US of the adnexal mass wall may increase the suspicion of tubal torsion. However, the observation of a normal stream form by Doppler US does not always exclude the torsion [ 1 , 11 , 17 , 18 ]. In our patient’s case, tubal pathology was suspected because of the normal appearance of the ovaries separately and detection of an irregular cystic mass in the adnexal region by US, and tubal torsion was also considered among the preoperative differential diagnoses.…”

“…This is a very rare condition among the causes of acute abdominal pain in women. Its incidence has been reported as 1 in 1,500,000 [ 1 , 2 ]. It was first described by Bland-Sutton in 1890 [ 3 , 4 ].…”