Isolated fallopian tube torsion diagnosed and treated with laparoscopic surgery: A case report

• Published in: Gynecology and minimally invasive therapy Vol. 6; no. 2; pp. 89 - 91
• Main Authors: Ito, Fumitake, MD, PhD, Tatsumi, Hiroshi, Takahata, Akiko, Yamada, Sachimi, Kusuki, Izumi, Kitawaki, Jo
• Format: Journal Article
• Language: English
• Published: India Elsevier B.V 01.05.2017; Medknow Publications & Media Pvt Ltd; Wolters Kluwer Medknow Publications
• Subjects: acute abdominal pain; Case Report; isolated fallopian tube torsion; laparoscopic surgery; Obstetrics and Gynecology; isolated fallopian tube torsion; laparoscopic surgery; acute abdominal pain
• ISSN: 2213-3070; 2213-3089
• DOI: 10.1016/j.gmit.2016.06.006

Abstract Among diseases causing acute lower abdominal pain in women, isolated fallopian tube torsion is very rare with an annual prevalence of 1 in 1.5 million. Because it has fewer findings on imaging compared to adnexal torsion, the correct diagnosis can rarely be made before an operation. We present a case of isolated fallopian tube torsion that was suspected preoperatively by its clinical course and findings on computed tomography. A 24-year-old woman repeatedly experienced acute colicky pain in the right lower back. Transvaginal ultrasonography and magnetic resonance imaging showed a right pelvic cystic lesion with intact ovaries; these findings led us to schedule a laparoscopic examination. However, the patient presented to the emergency room with acute severe right back pain. The preoperative diagnosis considering the computed tomography findings and clinical course was consistent with fallopian tube torsion. An earlier diagnosis may have help to preserve the fallopian tube and future fertility.