MRI diagnosis of tubal torsion: the whirlpool sign

Thakral, Anuj; Malhotra, Rajeev; Sobti, Nitika; Chandna, Ankita; Arora, Mrinal

doi:10.18203/2320-1770.ijrcog20151633

Cited by 1 publication

(1 citation statement)

References 12 publications

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“…Cross sectional imaging would also be unhelpful in making a definite diagnosis. 9,10 After all these investigations in a patient with isolated fallopian tube torsion, we can be fairly certain that an adnexal pathology is present even if a definite diagnosis has not been made. At this stage, differential diagnosis included adnexal torsion, ectopic pregnancy, PID and torsion of sub-serous degenerative leiomyoma.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic laparoscopy in isolated torison of hydrosalpinx: a likely cure for an unlikely disorder

Priya

Chetia

Sharma

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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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.

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Section: Discussionmentioning

confidence: 99%